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<td width="609" height="202"><div align="left"> <br />
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<div align="center">
<span class="style55"> 15th IUPAC International Symposium on <br />
MacroMolecular Complexes</span></span><span class="style58"><strong><img src="mmc15em.jpg" alt="mm15" width="269" height="57" /></strong><br />
</span><span class="style29">August 13-16, 2012</span> </span><span class="style58"><br />
</span></span><span class="style58"><strong><br />
</strong>
</span> </div>
<div class="style22">
<div class="style29">
<div align="center"><span class="style58"><strong><em><span class="style29"></em></strong>Greenville, South Carolina, USA
<br />
Clemson University, Clemson, South Carolina, USA </span> </div>
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</span></div>
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<td width="600"><p class="style59"><strong>MMC-15 Registration</strong>:
<font size="-1" face="verdana, arial, helvetica">Please select registration type </font>
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<option value="one">Early regular registration $500.00, before may 31, 2012</option>
<option value="two">Early Student or Accompanying $250.00, before may 31, 2012</option>
<option value="three">Regular registration $600.00</option>
<option value="four">Student or Accompanying $300.00</option>
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<td><font size="-1" face="verdana, arial, helvetica"><b>Registrant Information</b></font><br />
<span class="style32">Fields marked with an asterisk are required input fields.</span></b></td>
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First Name *</span></td>
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<input type="text" name="lname" />
Last Name *</span></td>
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Address *</span></td>
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Address 2</span></td>
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City *</span></td>
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<input type="text" name="state" />
State or Province *</span></td>
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Postal Code (ZIP) *</span></td>
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Country *</span></td>
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Telephone Number *</span></td>
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E-Mail Address *</span></td>
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<td width="421" height="29"><span class="style32"><b>Method of
Payment</b><strong> - </strong> Please
be sure to select your payment method
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<td width="143"><font size="-1"><font color="#FF0000" face="arial, helvetica"><font color="#000000">Make
check payable to:</font><br />
</font><font face="arial, helvetica"><span class="style72">XXXXXXXX</span></font></font></td>
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<td><span class="style32"><b>* </b><b>I have read and agree to the <a href="#" onclick="window.open('terms.html','popup','width=470,height=450,directories=no,location=no,menubar=no,scrollbars=yes,status=no,toolbar=no,resizable=yes,left=40,top=20,screenX=50,screenY=50');return false">Terms and Conditions.</a></b></span></td>
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<div><span class="style84"><span class="style85"><strong><br />
REGISTRATION FEE INFORMATION</strong> <br />
</span></span></div>
<span class="style32"><br />
</span>
<div class="style32">The registration fee will allow the participation in all scientific and social activities. The fee includes admission to the scientific sessions, covers expenses for the welcome party and the conference dinner, lunches, coffee and refreshments between scientific sessions, and the conference proceedings. The registration fee does not include local transportation. No sightseeing is planned.</div>
<span class="style32"><br />
Before May 31, 2012: <br />
- $500 regular participant<br />
- $250 student <br />
- $250 accompanying person<br />
After May 31, 2012: <br />
- $600 regular participant<br />
- $300 student <br />
- $300 accompanying person<br />
Conference dinner: <br />
- $100 for accompanying person only<br />
<br />
- 10% reduction for IUPAC Member, Affiliate, or Fellow<br />
- 30% discount for scientists coming from developing countries and NIS<br />
<br />
IUPAC sponsorship requires that its Members, Affiliates, and Fellows be entitled to 10% reduction or own members rate on the registration fee for scientific participants.<br />
<br />
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<div class="style87"><strong>CONTACT </strong></div>
<div class="style87"><em>General Symposium Chairman: </em>Prof. Anthony Guiseppi-Elie </div>
<div class="style87">Center for Bioelectronics, Biosensors and Biochips<br />
Clemson University, 100 Technology Drive, Anderson, South Carolina 29621, USA</div>
<div><span class="style87">Tel: +1 (864) 656 1712; Fax: +1(864) 656 1713; E-mail: <em>[email protected]</em></span></div>
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