REGISTRATION FORM
Micro & Nano 2007 Conference
November 18-21, 2007, Athens (Greece)
Every attendee (including chairpersons, authors, presenting authors, invited speakers, committee member etc.)
has to fill out and send a registration form to Micro&Nano 2007
TO BE RETURNED by September 10th, 2007
Send this form by e-mail to: micronano07@imel.demokritos.gr
FAMILY NAME:
First Name:
INSTITUTION:
Department:
Street/PO Box:
Zip/City:
Country
Phone:
e-mail:
Fax :

REGISTRATION FEES
Registration fee includes conference proceedings, welcome reception, coffees and light lunches and the
conference dinner.
I will attend the Micro&Nano 2007 Conference, I am author, presenting author, committee
member, invited speaker (delete as necessary)
Please check category and enter amount in payment section below.
Early registration fee: 250 Euros
Register and pay by September 10, 2007 to take advantage of the early registration fees.
Late registration fee by November 10th, 2007: 280 Euros
Student early registration fee: 150 Euros
Register and pay by September 10, 2007 to take advantage of early registration fees.
Student late registration fee by November 10th, 2007: 180 Euros
I will participate in the conference dinner on Tuesday, November 20th
I enclose a copy of a bank transfer for the amount of ………… Euros to:
Bank: Piraeus Bank, Holargou
Account: Makridi Z., Papanikolaou N.
IBAN: GR47 0172 0760 0050 7603 2689 366
BIC: PIR8GRAA
Bank transfer must include all applicable bank wire transfer fees.
Please send a scanned copy of the bank transfer together with the registration form.