ZOMES II

The COP9 Signalosome, Proteasome and eIF3 at the Crossroads of Signaling

Welcome Scientific Program General Registration Form HOME	Registration Fees Including accommodation, per person in double room Payments for all Participants (except Israelies): As quoted in US$. DO NOT ADD VAT! Payments for Israeli Participants: As quoted in US$, converted to NIS per the official rate of exchange. VAT must be added for Registration costs.
		Catagory	Until March 15, 2002		After March 15, 2001
		Student/Postdoc presenting poster	US$ 100 (+ $17 VAT)		US$ 200 (+ $25 VAT)
		Student/Postdoc (no poster)	US$ 250 (+ $25 VAT)		US$ 325 (+ $25 VAT)
		Academia	US$ 325 (+ $25 VAT)		US$ 375 (+ $25 VAT)
		Industry	US$ 375 (+ $25 VAT)		US$ 450 (+ $25 VAT)
		Fight TLV-Antalya-TLV on April 28 - May 2		$100

Remarks:

1. One presenting student per poster

2. Single room: USD 150 supplement

Registration Fees include:

* Participation in all sessions and receipt of Meeting material

* Three nights accommodation in double room on basis of full board less lunch on departure day

* Coffee breaks

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REGISTRATION FORM

Each participant should fill in a registration form

IMPORTANT:
To register, please send the filled registration form by e-mail.

A copy of the form should be enclosed with the check sent by mail.

Registration is valid only if accompanied by payment.

Send to: InTour - Mrs. Zur, e-mail: mrgzur@attglobal.net

P.O.Box 9095, Ramat-Efal 52190, Israel, tel: 972-3-6355038

Surname __________________

First Name __________________

Title [ ] Prof. [ ] Dr. [ ] Mr. [ ] Ms.

Passport no./ ID (Israelies) __________________

Institute_____________________________________

Dept_________________________________________

Mailing address________________________________

E-Mail ____________________

Tel__________________

Fax ____________________

Accommodation Package:

[ ] Double room My roommate is ______________

If no name is indicated, or if the person indicated does not register, the organizers will assign a roommate arbitrarily, or single room occupancy will be charged. I am: [ ] Male [ ] Female

[ ] Single room (USD150 supplement)

Registration Category

[ ] I am a student / post doc

[ ] I have submitted an abstract [ ] I'll present one before the deadline

[ ] Academia [ ] Industry

I want to reserve a seat on the flight from Tel-Aviv to Antalya.

[ ] yes [ ] no

Payment: Make checks payable to: InTour - Travel Agency. 

Enclosed is a check for NIS / $ ___________

Signature _____________________ 

Date ________________________

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