For Online registration click here

For Paper registration, complete the following form here. Print and mail with payment.

I wish to register for the International Conference on Technology in Cancer Research and Treatment in the New Millennium, June 27 - 30, 2001.

Registration Fees:
From Dec. 20, 00 – April 30, 01: $125.00, students, $275.00, all others; May 1 – May 31, 01: $150, students, $300.00, all others
June 1, 01 – Cancellation of Advance Registration to receive refunds (less US $25.00, administrative fee).

Last Name (CAPS ): First Name:

Male: Female: Degree: Ph.D: M.D: other:

Title/Department Institution:

Address:

City: State: Zip: Country:

E-mail:

Phone: Fax:

Invited Speaker: Yes No Presenting Poster: Yes No Predoctoral Student: Yes No
Postdoctoral Student: Yes No Guest: Yes No Wheelchair Requirement: Yes No
Date of Arrival: Date of Departure:

Payment by Credit or Debit Cards. If you wish to pay by Credit or Debit Cards (only Visa and Master Card), please provide:
Type of Card: Visa MC Credit Debit

Card Number: Expiration Date:

Name of the Card Holder:

Payment by check in the US: Make check payable to: Adenine Press, Inc., Conference Fund
For Foreign Countries: Send check or money order drawn in any bank located in the US, payable to: Adenine Press, Inc., Conference Fund
Fax the completed form with card information or mail check to:
Adenine Press, Inc., 2066 Central Avenue, Schenectady NY 12304 , USA;
email: stone@adeninepress.com; phone: 518-456-0784; fax: 518-442-3462