Asian-Pacific Congress of Medical Physics

Taipei, Taiwan
June 21-22, 2008

Registration Form

Name:__________________ __________________degree:______________Mr.Ms. 

(family name)         (given name)

Institution:______________________________________________________________

Address:_______________________________________________________________

________________________________ Postal code:_________________

Telephone: _______________________ Fax: ________________________

 E-mail: ______________________________________________ Please print clearly

Registration fees*:

Participant:           early (until May 1, 2008)        US$200

late (until June 10, 2008)  US$250                                

on site US$300

Companion Name: _________________________US$100 Total paid: $__________

*These fees are for participants outside Taiwan.

*Refund Policy: Before May 15, 2008, full refund. Before June 10, 2008, 50% refund.
After June 10, 2008, no refund will be made.

*Registration fees include admissions to scientific sessions, commercial exhibits, refreshments and the conference dinner, and one local tour.

Checks should be made payable to North American Chinese Medical Physicists Association (or NACMPA). Please mail Registration Form and check to:

Zhiheng Wang, Ph.D.

NACMPA

P. O. Box 61048

Durham, NC 27715-1048

Email: zhiheng.wang@duke.edu