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NNIN/CNF 2005 Fall Workshop "Modeling the Nanoscale World"  
Monday - Wednesday, October 10 - 12, 2005

: Registration Form :

The Registration Deadline is Friday, September 16th
The Registration Fee must be Received by September 23rd

The Registration Fee is $300 per person

Please note that because of the afternoon lab activities, the workshop size is limited to 45 participants. Your spot is not guaranteed until your payment is received and verified via an email from Dr. Derek Stewart.

  • If the course is being charged to a CNF or Cornell account, we must notify the appropriate PI or accounts representative. Please put their name and email in the message box.
  • If paying by check, please make it out to "Cornell University" and write "CNF Fall Workshop 2005" in the memo line. Mail your check to:

Dr. Derek Stewart
250 Duffield Hall, CNF
Ithaca NY 14853-2700 

  • Your payment MUST be received by Friday, September 23rd. 
  • We cannot accept credit card payments.
  • A waiting list will be maintained in case of cancellations.
  • Please note the CNF apartment is already full.  Ithaca has all the major chains though: Courtyard by Marriott, Best Western, Comfort Inn, Econo Lodge, Holiday Inn, Ramada, Super 8, etc.  We are also looking into reserving a block of rooms at area hotels.  Check back for more information on this option.
Enter your registration information in the areas provided below.
first name:
last name:
email:
institution:
department:
work address:
city:
state:   zip/postal:  
daytime phone: (include area code)
fax: (include area code)
if applicable: CNF Project # (PI name & email in box below)
CNF or CU Account # (If CU, accounts rep in box below)
message:
 


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