SICPB Registration

The 2nd SHANGHAI INTERNATIONAL CONFERENCE
ON PHYSIOLOGICAL BIOPHYSICS --AUDITION & VISION
( Shanghai ICPB’06,Nov. 3 – 7, 2006, Shanghai, China)

Registration & Hotel Reservation Form

Paper ID #:
Name:
Title:	Prof. Dr. Mr. Ms.
Sex:	Male Female
Nationality:
Passport number:
Date of birth(M/D/Y):
Place of birth(city/country):
Affiliation:
Mailing Address:
ZIP code:
Email:
Website:
Tel:
FAX:
I'd like to submit abstract(s) Yes No
I'd like to have an oral presentation Yes No
I'd like to have an post presentation Yes No
I'd like to organize a symposium, topic is
I prefer to join tour A tour B NONE
Accompany family member
Name:
Sex:	Male Female
Nationality:
Passport number:
Date of birth(M/D/Y):
Place of birth(city/country):

Payment of registration fee by:	Bank Transfer Bank Draft or Check Pay Cash or Using Credit Card on Desk
Amount of your payment totally
And the tentative date(M/D):
Hope Hotel	(3 star, including breakfast)
	I need to register Hope Hotel Don't need hotel register
	Standard Room A (with two beds): US$70 Standard Room B (with two beds): US$65 Standard Room C (with two beds): US$60 Business Single Room (with one bed and free web service): US$55 Small Suite (with two beds): US$85 Large Suite (with two beds): US$165
	*There is a computer connected to the web in the Business Single Room, it is free for the customer. For other type of rooms, there is only web socket, you should use your own computer, and you should pay. Web: www.hope-hotel.com
Suggestion and Comments:

We will contact and confirm to you when we receive your registration form. Thank you very much for your attention and cooperation! Looking forward to seeing you at Shanghai ICPB '06!