Registration Form for the 1St International Qpcr Symposium & Application Workshop

Registration form for the 1st International qPCR Symposium & Application Workshop

3rd - 6th March, 2004 in Freising-Weihenstephan, Germany

http://www.wzw.tum.de/gene-quantification/qpcr2004/index.shtml

First Name: / Family Name: / Title/Address:
Company / Institution:
Address
Postal Code / Town
Country:
Telephone: / FAX:
e-mail:
I want to submit an abstract with the tentative title: Deadline 15. Nov
My PCR skills: / £ beginner / £ weak skills / £ good skills / £ excellent

I am extreme interested in the following themes – Please mark the topics !

Real-time PCR / Real-time RT-PCR & Transcriptomics / SYBR Green Assays / Specific Probe Assays / Real-time PCR Kinetics
qPCR Applications / Clinical Diagnostics / NutriGenomics / PharmacoGenomics / Expression Profiling
Normalisation &
Housekeeping genes / Assay Validation / Absolute Quantification / Relative Quantification / RNA & DNA Isolation & Automatisation
New Cycler Platforms / New Kit Formats / New Software Applications / New RNA & DNA Isolation Techniques / I plan to buy a NEW
real-time Cycler

Please send your registration form via:

Snail mail Dr. Susanna Wirth, TUMTech, Saarstraße 7, D-80797 München, Germany
or FAX Dr. Susanna Wirth, TUMTech, FAX No. +49-89-306695-66
and e-mail the completed Word document to
Symposium Registration Fee ( Wed. – Fri. ): Please mark your choice !!!
early registration fee / (before 15th Nov. 2003) / £ 360 € (incl. MWST = VAT)
late registration fee / (after 15th Nov. 2003): / £ 430 € (incl. MWST = VAT)

Application Workshop Registration Fee ( Fri. + Sat. ) max. 80 participants possible – Register early!

registration fee / (before 15th Nov. 2003) / £ 430 € (incl. MWST = VAT)
late registration fee / (after 15th Nov. 2003): / £ 490 € (incl. MWST = VAT)

Symposium & Application Workshop Registration Fee ( Wed. – Sat. ) max. 80 participants possible – Register early!

registration fee / (before 15th Nov. 2003) / £ 790 € (incl. MWST = VAT)
late registration fee / (after 15th Nov. 2003): / £ 920 € (incl. MWST = VAT)

Please transfer the registration fee to the bank account:

Payment is possible by Bank Transfer in Euro [ € ] and free of charges to the recipient TUM-Tech GmbH
Account No. 10374304
Kreissparkasse München Starnberg Code 702 501 50
International Bankcode: iBAN: DE75702501500010374304
Swift –Adresse BYLADEMM
BIC-Code BYLADEM1KMS
Please state your Name and Symposium or Workshop or Symposium & Workshop
……………………………………………………………………………………………………………….
Date Signature

If you have any questions, please call Dr. Susanna Wirth (+49-89-306695-52) or e-mail us: