REGISTRATION FORM
International Workshop "The Cell Within Cytomics"
Complejo Cultural "San Francisco", Cáceres, Spain. October 4-8, 2004
Surname:
Name:
Title:
Mail Address:
City:
ZIP Code:
Country:
E-mail address:
Phone:
FAX:
Are you a Member of the Sociedad Iberica de Citometria/Sociedade Ibérica de Citometria
YES □
NO □
PLEASE, CHECK THE APPROPRIATE REGISTRATION
Member of the SIC
Non-Member
Student*
Lecture Sessions
□ 400
□ 500
□ 300
Lecture Sessions + Practical Demonstrations
□ 600
□ 700
Total Registration Fees
………..
PAYMENT
Payments must be done by funds transfer to the Workshop bank account:
Account title: Cytomics-2004
IBAN account code: ES90 2077 0024 0031 0287 9803
Bank: BANCAJA. Office 024. SWIFT Code: CVALESVVXXX
Address: Doctor Moliner, 2. 46010-Valencia, SPAIN.
Bank transfer costs should be assumed by registrants
INSTRUCTIONS
Please, fill in this Registration Form and send by e-mail (as attached file), FAX or post mail to Secretariat:
José-Enrique O'Connor. Departamento de Bioquímica y Biología Molecular. Facultad de Medicina.
Avda. Blasco Ibá ez, 17. 46010-Valencia, SPAIN.
e-mail: jose.e.oconnor@uv.es - FAX: +34 963 86 4001 or +34 963 86 4173 - Phone: +34 96386 4988
Registrations will be acknowledged only after funds transfer to the Workshop bank account are effective.
The Organization will issue invoices when required