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On-line Registration
  1. If you wish to register off-line or make changes to an existing registration, please use the PDF Registration Form
  2. Complete the form below.
  3. Select the Payment Button corresponding to your preferred payment method. Please note that registration is executed as soon the selected payment button is pressed.
  4. Credit Card information will be collected after submitting via the "Credit Card" button (Visa or MasterCard ONLY).

(* denotes a required field)

* Region:
* Institution:
* Salutation:
Gender:
* First Time Attendee:

* First/Given Name:
* Last/Family Name:
* Degree: (Ph.D., Sc.D., Dipl.-Ing., etc.)
* Nametag:
(first name or nickname...as you wish it to appear on your nametag)

* Position:
* Organization:
Department:
Division:

* Address:
* City:
State/Province:
* ZIP/Postal Code:
* Country:

(include country code before phone and fax numbers, i.e. +1-800-555-1212)

* Phone:
Fax:
* Email:

Advisor's Name: (*required for student discount)

* Classification: Conference Presenter and Author -- Paper Number
      Has the presenting author changed since abstract acceptance?
Author
Participant

(Each paper, in order to be published in the conference proceedings and final program, requires at least one author to be registered as an attendee. Please enter paper number(s) above.)

* Include email address on participant's list for all conference attendees?


* Provide name and contact information to commercial supporters and conference attendees?


Special Requirements
Dietary:
Physical:

How did you hear about the MicroTAS 2014 Conference?



* Registration Type

Full Registration Fee Early Bird
On or Before
31-JUL-2014

Advanced
1-AUG-2014 to
10-SEP-2014

Standard
11-SEP-2014 to
17-OCT-2014

On-Site
After
17-OCT-2014

Participant $795 $850 $945 $995
Student1 $625 $650 $725 $750
Benefactor Code:
1With Student Advisor's Name



Daily Conference Fee

Participant$500Which Day?
Student1$350Mon  Tue  Wed  Thu
1With Student Advisor's Name



Optional Sunday Workshop / Course Fee
  • Workshop 1: Microfabrication via 3D Printing - Full-day
  • Workshop 2: Paper-based Microfluidics - Full-day
  • Workshop 3: Diagnostics Technologies for Point of Care and Resource Limited Settings - Morning
  • Workshop 4: Inertial Microfluidics - Afternoon
  • Workshop 5: Simulating Microfluidic Phenomena with STAR-CCM+ - Afternoon
  • Workshop 6: Diagnostics at the Point of Care: From Sample-to-Answer Empowered by Centrifugal Microfluidics
Attendees must choose the Workshop they would like to attend at the time of registration as there will be no in and out privileges and material (if any) will only be prepared for those who sign up. Early registration is encouraged as seating is limited and registration is on a first-come, first-served basis. On-site registration may be limited.

If a particular workshop is FULL, please contact registration@microtas2014.org to be added to the waiting list.

Advanced
On or Before
30-SEP-2014

Standard
After
30-SEP-2014

Workshop 1 - Full-day $50 FULL $75
Workshop 2 - Full-day $50 FULL $75
Workshop 3 - Morning $35 FULL $50
Workshop 4 - Afternoon $35 $50
Workshop 5 - Afternoon $35 $50
Workshop 6 - Afternoon $35 $50
Benefactor



Additional Purchases

Wednesday Evening Banquet
(Ticket NOT included in the conference fee)
Follow this link to add a banquet ticket to an existing registration.

Cost per ticket: @ $80

Name of Guest (if applicable; comma separated list if more than one)
First and Last Name



Pre-registration will close on October 17, 2014. After October 17, 2014, all prospective attendees will register on-site at the on-site rate. Please bring this registration form with payment to on-site registration.

Registration payment, in US Dollars ($) only, is due within 10 days of receipt of your registration. Registration is not valid or complete until payment is received unless other arrangements are made. The registration fee includes program material, (1) Electronic Technical Digest, exhibit hall access, welcome reception, refreshment/coffee breaks, and a 20% nonrefundable cancellation fee. A $50 fee will be charged for all substitutions. All requests for refunds must be received in writing no later than October 17, 2014. No refunds will be made after this date.

* I agree to the above Cancellation Policy



   

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