6th International Conference on
Inhibitors of Protein Kinases
June 27 - July 1, 2009
Warsaw, Poland 		 logo_ipk2007
MAIN PAGE ° INTERNATIONAL ADVISORY BOARD ° LOCAL ORGANIZING COMMITTEE  °  CONFERENCE SECRETARIAT °  LIST OF TOPICS  °  INVITED LECTURERS  °  REGISTRATION & REGISTRATION FEES ° SUBMISSION OF ABSTRACTS  ° REGISTRATION FORM °  LOCATION °  HOTEL INFORMATION ° SCIENTIFIC PROGRAM
REGISTRATION FORM
Send this form  prior to June 10, 2009.
If you wish to present a poster or communication please send the Abstract for evaluation to the Secretariat
(email: ipk2009@bioexploratorium.pl) - The deadline for submission of abstracts is March 31, 2009.

 

First Name:
Family Name:
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Position/Title:
Affiliation:
Address:
City:
Postal code:
State:
Country:
Address for Correspondence (if different from above):
Phone:
Fax:
e-mail:
I plan to submit a POSTER:
(If  YES, please send the abstract by email to: ipk2009@bioexploratorium.pl)
I plan to submit a PRESENTATION:
(If  YES, please send the abstract by email to: ipk2009@bioexploratorium.pl)
Title of abstract:
Registration for Conference
Accompanying person(s)
Name of accompanying person
Date of arrival
Date of departure













I will pay

REGISTRATION FEES


 before
April 30
 after
April 30
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
200 EUR
(800 PLN)
250 EUR
(1000 PLN)
Accompanying person
150 EUR
(600 PLN)
200 EUR
(800 PLN)

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


Date: