July 22-25, 2008 • Berkeley, CA, USA

Registration Form

Fax form to: +44 (0) 1865 843958

Mail to: Nina Cosgrove, Tetrahedron 2008 Symposium Secretariat, Elsevier Ltd., The Boulevard, Langford Lane, Kidlington, Oxford OX5 1GB , UK

Please register me for the 9th Tetrahedron Symposium

Delegate Details

Title:
Family name:
First name:
Job title:
Organization:
Address:
Post/Zip Code:
Country:
Tel:
Fax:
Email:
Special access or dietary requirements:

Please tick this box if you do not wish your name and affiliation to be included in the list of attendees given to delegates at the meeting.

Please tick this box if you do wish your email address to be given out to delegates of this Symposium, in the knowledge that it may be used by them for future 3rd party mailings.

Poster Presenters should provide their abstract reference number in order to ensure that their material is included in the final programme and abstract book.
Ref: [eg. TE 417]

Registration rate

Industry Delegate Registration @ US$820
Academic Delegate Registration @ US$600
Student Registration* US$275

Please book tickets for the Gala Dinner @ US$70 per ticket
Special access or dietary requirements for Gala Dinner guests:

Please send me information on exhibition and sponsorship opportunities at the Symposium

Payment Details

Total payment required US$
Please charge my
Card No:
Expiry Date:
Today's Date:
Name and address of cardholder if different from above:
Name:
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	I confirm that all of the above information is correct and that I am the valid credit card holder or authorised to enter into this transaction on behalf of the individual identified above, who is the valid credit card holder.

DECLARATION
(Please note that unsigned forms cannot be accepted)

I have read and agree to abide by the payment and cancellation terms, and I understand that this form confirms my Symposium booking. I accept that from now on charges will be imposed for cancelled registrations, and that up to the full registration fee will be payable if I am unable to attend the conference for any reason.

Signed:_________________________________________________

Date:_____________

The personal information that you provide on this form will be used by Elsevier Limited, (a company registered in England and Wales with company number 1982084, whose registered office is The Boulevard, Langford Lane, Kidlington, Oxford OX5 1GB, UK, conferenceinfo@elsevier.com) and its offices worldwide to process your registration.

We use your credit card and billing address details to bill you for the purchase and, where necessary to process the transaction, will pass this information on to relevant third parties. Your credit card information is used only for completing the purchase transaction and is retained only as necessary for administration purposes

The contact information you have provided may, with your permission, be used by us and affiliated and non-affiliated third parties for marketing purposes. We respect your privacy and do not rent, sell or disclose your personal information to any non-affiliated third party without your consent.

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