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					                                                         IEEE NANO 2010
                           th
                     10 International Conference on Nanotechnology
                                          Joint Symposium with NANO KOREA 2010
                        August 17(Tue)~20(Fri), 2010 / KINTEX, Seoul, Korea                         www.ieeenano2010.org


                                                       Registration Form
* Please complete this Registration Form and send it to the Secretariat by fax (82-2-573-6208) or e-mail (symposium@nanokorea.or.kr).


1. Participant Information
    Name           First                                    Middle                                   Last
    Title1         □Mr.   □Ms.   □Dr.   □Prof.   □Others (       )
    Title2         □IEEE Member □IEEE Non-member □IEEE Student Member □IEEE Student Non-member
Department                                                                       Position
Organization
                   Street                                              City                           Zip Code
   Address
                   State(Province)                                                Country
     Tel                                                                           Fax
    E-mail                                                                        Mobile
* Please fill out all the contents correctly and clearly for your name badge.


2. Registration Fee
                           Category                                            Pre-Registration                          On-site Registration
                                                                              (By July 31, 2010)                        (From August 1, 2010)
     Conference                      IEEE Member                                 □ USD 550                                  □ USD 680
                                   IEEE Non-member                               □ USD 700                                  □ USD 830
                                    Student Member                               □ USD 135                                  □ USD 175
                                 Student Non -member                             □ USD 180                                  □ USD 225
       Tutorials                     IEEE Member                                 □ USD 200                                  □ USD 250
                                   IEEE Non-member                               □ USD 250                                  □ USD 315
                                    Student Member                               □ USD 90                                   □ USD 120
                                 Student Non -member                             □ USD 110                                  □ USD 140
* The members of Korea Nano Technology Research Society will pay the same registration fee as the IEEE members pay

* Registration (regular) includes: Lunch ticket (3), Banquet ticket (1), Proceeding USB (1), Parking ticket (3), Souvenir

 Registration (student) includes: Lunch ticket (3), Proceeding USB (1)

Tutorial registration includes: Lunch ticket (1), Parking ticket (1)

* Please bring your IEEE Membership card or Student card on site.

* All registers are allowed to visit NANO KOREA 2010 Exhibition for free


3. Additional Items

                           Category                                                                          Fee

                                     IEEE Members                                                       □ USD 60
    Proceedings
                                  IEEE Non-members                                                      □ USD 60

       Banquet                                                                                          □ USD 60




IEEE NANO 2010 Secretariat
#301, Seshin Bldg., 66-2 Woomyun-dong, Seocho-gu, Seoul 137-140, Korea
Tel: +82-2-577-2188, Fax: +82-2-573-6208 E-mail:symposium@nanokorea.or.kr
                                                IEEE NANO 2010
                        th
                    10 International Conference on Nanotechnology
                                   Joint Symposium with NANO KOREA 2010
                     August 17(Tue)~20(Fri), 2010 / KINTEX, Seoul, Korea              www.ieeenano2010.org


4. Payment Method


Registration Fee:                     .                            Others:                      .

Total Amount:
□ Credit Card                                                      □ Bank Transfer

□ Visa   □ Master                                                    - Bank Name: Citi Bank

 - Card No.                                                          - Account Number.: 160-00141-247-01

 - CVC No. (3 number at back of your credit card) :                  - Swift Code: CITIKRSX

                                                                     - Account Holder:
                                                                      Korea Nano Technology Research Society(KoNTRS)
 - Expiration Date (mm/yy) :
                                                                   - Bank Branch Address : 2F, BK Building, 66,
                                                                                 Umyeon-dong, Seocho-gu, Seoul , Korea

                                                                     * Copy enclosed: Payment Date:
 - Cardholder’s Name:
                                                                                      Name of Remitter:
* All Bank charges for remittance must be paid by the registrant. Please note that the fee must be transferred under the registrant's
name and must be stated on the receipt. For processing, please send the receipt to IEEE NANO 2010 Secretariat by fax or e-mail.
* For more Information about cancellation and refund policy, please refer to the website (www.ieeenano2010.org).

Date :                                                                Signature :                                                  .




IEEE NANO 2010 Secretariat
#301, Seshin Bldg., 66-2 Woomyun-dong, Seocho-gu, Seoul 137-140, Korea
Tel: +82-2-577-2188, Fax: +82-2-573-6208 E-mail:symposium@nanokorea.or.kr

				
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