5th International Conference on Lyophilization and Freeze Drying

Payment for attending Workshop program, Conference program, Sponsorships or payment for a Table Top Exhibit can be done by PayPal (credit card) or wire transfer by performing the following steps:

Payment by PayPal (credit card)

1. Complete the following form

2. Wait for a confirmation e-mail with the receipt and follow the PayPal link in the e-mail to make your payment.

Payment by wire transfer:

1.    Complete and submit the following form and add to the total fees $15.00 if the payment is being made from the USA or $16.00 if made from outside the USA. Incomplete Wire Transfer forms will NOT be accepted so please be sure that all boxes with an asterisk (*) are completed.

2.    The Society will notify the contact person as to bank information to make the wire transfer.

3.    Upon receipt of the wire transfer, the contact person will be notified and paid invoice will be mailed to the company.

PLEASE USE THE "TAB" BUTTON OR MOUSE TO NAVIGATE THIS FORM. PRESSING "ENTER" WILL SUBMIT THE FORM

*Your Full Name:

*Name of your organization or company:

*Street Address:

2nd Address:

*City or Town:

*State or Province:       *Zip Code: (if no zip code enter the letters NA)

*Country:

*Contact person email address:

*Contact person telephone number:

Contact person fax number:

*Please check off the events and the number of attendees

Workshop  Program    Number of attendees

5th International Conference       Number of attendees

Table Top Exhibit       Number of additional exhibitors

Sponsor

Payment must be made in US Dollars. Please see the conversion below:

Workshop Attendees -  € 650,00 X 1.32 = $858.00 US Dollars

Conference Attendees - € 1.150,00 X 1.32 = $1,518.00 US Dollars

Conference Exhibition -  €1.450,00 X 1.32 = $1,914.00 US Dollars

*Subtotal of fees in US Dollars

*Bank fees (Wire Transfer only - $15.00 -USA or $16.00 - Other Countries)

 *Total of fees transferred in US Dollars

Please check the form and make sure you have completed ALL sections with an asterisk (*). To submit your form just click on the Submit Wire Transfer button.

                    

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