q-bio Conference 2014 Registration | Conference | 2014 | qbio

The Eighth q-bio Conference

Date: August 13-16, 2014

Location:

St. John's College, Santa Fe, NM

1160 Camino Cruz Blanca, Santa Fe, New Mexico 87505

Please visit the main q-bio website for more information!

First Name

Last Name

Institution

Email Confirmation

Mailing Address

Address
Example: 4200 W. Jemez Rd.

Address Cont.
Example: Suite 301

City / Town
Example: Los Alamos

State / Province
Example: New Mexico

Zip / Postal Code
Example: 87544

Country

Event RSVP

Please make reservation for you and your guests now.

Dates/Time:

Opening Banquet: August 13 Wednesday, 6pm-8:30pm

Closing Banquet: August 16 Saturday, 6:30pm-9pm

Costs:

Your seats at both banquets are covered by registration.

Additional guest: $35/guest per event.

Wine/Beer Voucher: $20/per for both banquets

Opening Banquet

Opening Banquet Guest

Closing Banquet

Closing Banquet Guest

Wine/Beer Voucher

Dietary Restrictions
None Vegetarian Allergic to specific food (please list out in the comments field) Other (please explain in the comments field)

Dietary Restrictions Comments
Select Allergic to specific food or Other from the options above to make comments

Lodging Options and Fees

Lodging/Meals Package:

Important Notes:

1) All types of rooms are only available for check-in ON or AFTER 8/13 Wednesday 12 Noon. Regular check-out day is 8/17 Sunday by 10am. You are required to pay for the entire 4-days stay. (e.g., if you stay for 2 days only, you are still requred to pay the same amount).

2) Late check-out. If you have to check out on August 18 Monday, an additonal $80 will be collected. No late check out after Monday AM is available.

3) Lodging costs include breakfast and lunch everyday.

4) Rooms are in limited quantities and room types are subject to availablity. Please reserve your room as early as you can. We will refund you the difference if your selected room type has to be downgraded.

Available Room Options :

Double Dorm Room - $260

Single Dorm Room - $320

Apartment (2-bedroom apt.) - $690 (priority will be given to participants accompanied with family members)

**Although you are paying for all 4 days, please let us know your planned check-in/out dates in the fields below.

Gender
Female Male

Check-in Date

Check-out Date

Do you need to check out on Monday (August 18th, 2014)?
If you need to check out on August 18 Monday, please check this box and you will be charge additional $80.

Double Dorm Rooms are SOLD OUT! Please select other types.

Lodging and Meals Packages
No Lodging Needed ($0) Single Dorm Room ($320) 2-bed Apartment ($690) Invited Speaker's Single Suite($0)

Got lodging waiver?
$260 will be deducted from your total payment if you were offered lodging waiver.

Registration Type and Payment

Regular registration fee is $550

Registration - Partial Waiver is $200 ($350 off regular)

Registration - Full Waiver is $0 ($550 off regular)

If you choose "Other" below, you should provide more info. in the "Other payment details" field below. We will contact you to finalize the payment.

**You are not registered until your payment has been confirmed.

Registration Type

Payment options
Credit/Debit Card: ONLY Visa, MasterCard, Discover. No American Express please. Other: Bank transfer, check or other methods by special arrangement.

Number
Example: 4444333322221111

Expiration month
Expiration year
First name
Name as appears on the card
Last name
ccv

Other payment details

Other comments and questions?

Powered By ChronoForms - ChronoEngine.com