5th International Conference on

Inhibitors of Protein Kinases
logo ipk2007
and Workshop:
Modelling of Specific Molecular Recognition Processes
June 23 - 27, 2007

Warsaw, Poland


REGISTRATION FORM
Send this form  prior to June 10, 2007.
If you wish to present a poster or communication please send the Abstract for evaluation to the Secretariat - The deadline for submission of abstracts is April 30, 2007.


    Use our e-mail: ipk2007@icm.edu.pl

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Affiliation:
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Address for Correspondence (if different from above):
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I plan to submit a POSTER:
(If  YES, please send the abstract by email to: ipk2007@icm.edu.pl)
I plan to submit a PRESENTATION:
(If  YES, please send the abstract by email to: ipk2007@icm.edu.pl)
Title of abstract:
Registration for Conference
Registration for Workshop
Accompanying person(s)
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I will pay

REGISTRATION FEES
The registration fee is due May 15, 2007


before
May 15		 after
May 15
Industry-affiliated participants 480 EUR
(1920 PLN)		 580 EUR
(2320 PLN)
Academic-affiliated participants
360 EUR
(1440 PLN)
460 EUR
(1840 PLN)
Undergraduate and PhD students
150 EUR
(600 PLN)
200 EUR
(800 PLN)
Accompanying person
150 EUR
(600 PLN)
200 EUR
(800 PLN)

registration fee for participant/student
 EUR 
PLN 
registration fee for accompanying person


Date: 
 


26.03.07