NT99 Logo
NANOTUBE-99
International Workshop on the
Science and Application of Nanotubes

East Lansing, Michigan, USA, July 24-27, 1999

Registration Form

If you are interested in NT-99 and want to be kept informed, please fill out and submit the following form.

Information Relevant to Workshop Planning.

Select your level of interest
(to judge the required size of facilities):
Do you wish to present a contribution? Yes
No
If yes, which is the title?

Information about Yourself.

Title:
First Name:
Middle Name(s) (if any):
Family Name:
Institution:
Address (line 1):
Address (line 2, if needed):
City:
State/Province
(if applicable):
ZIP Code
or Postal Code/Zone:
Country:
E-Mail Address:
URL of Your Home Page
(http://www...):
FAX Number
(including country code):
Phone Number
(including country code):
May we include your name
in the address list on the Web?

Your Travel Plans.

Date of Arrival:
Date of Departure:
Time of Arrival:
Additional Travel Information
(Travel by Private Car / Air; Flight Number):

Accommodation.

A limited number of rooms have been reserved at the Headquarters Hotel, the East Lansing Marriott at University Place, at a strongly discounted rate of USD 84.- + tax per room. You are strongly urged to make a reservation early, mentioning the workshop name "NANOTUBE-99", by calling Marriott at +1-800-646-4678 or +1-800-228-9290 (toll-free within the U.S.), or by faxing your request to the East Lansing Marriott at +1-517-337-5001.
Hotel Accommodation:

Registration fee:

The $120.- registration fee will be reduced to $100.- for those participants who submit their Proceedings contribution electronically before the conference.

Please send a check, drawn on a U.S. bank and payable to Michigan State University (with the remark NT99 Registration), to NANOTUBE-99, c/o Lorie Neuman, Department of Physics and Astronomy, Michigan State University, East Lansing, MI 48824-1116, USA

Additional Information:

Note:
*** Registration Deadline Extended to: 15-Jun-1999 ***

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For further information contact: tomanek@nanoten.com.

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Last update: 30 November 1998 .