2nd Annual Unither Nanomedical & Telemedical Technology Conference
Home Conference Info Conference Program Registration Contact
 
Conference Registration Form
 
You must register with the Conference Hotel by downloading the Hotel Registration Form. For more information
call 1.888.550.1488 and mention the Unither Nanomedical & Telemedical Technology Conference.
 
Name (For Name Badge): Country:
University / Organization: Phone:
Address: Fax:
City: E-mail:
State:    
Zip Code:    
       

Registration Fees - Includes the registration, conference proceedings, conference materials & conference sponsored meals.
REGISTRATION CLOSES ON JANUARY 31, 2010.

$495 (Received after December 31, 2009)

 
Please list any special needs: (i.e. vegetarian meals, dietary allergies, etc.):
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PAYMENT METHODS

Remit credit card payments through the PayPal link below. Or send a check, money order or credit card information via mail or fax.
Checks/money orders must be in U.S. funds payable to: United Therapeutics Corporation. There will be a fee charged on checks
returned by the bank due to insufficient funds.

Please check appropriate payment method: VISA MasterCard AMEX Check Money Order

 
Please enter these numbers to complete this request. This has been added to stop spam.
 
 
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Cancellations and Refunds: Registration fees will be refunded, less a $30.00 administration fee, if cancellation is received in
writing no later than December 15, 2009. After that date, registration fees are non-refundable. All refunds will be processed after
the conference.

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Mail or fax completed registration form and payment to:
United Therapeutics Corporation
Attn: Temple Fortson
1110 Spring Street
Silver Spring, MD 20910
In Re: Unither Nanomedical & Telemedical Technology Conference

Phone: 301.608.9292 ext. 1703
FAX: 301.562.8290
E-mail: tfortson@unither.com

 
 
Register Today! United Therapeutics Corporation
For further information contact Temple Fortson at 301.608.9292 ext. 1703 or tfortson@unither.com.
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