Registration form for StatPhys-Taiwan-2005
Registration form  ( register online )     You can also download registration form in WORD DOC or PDF or PLAIN TXT format
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 In this registration form, items with red color indicate fields must be completed for registration.

　

   Title: Prof.   Dr.   Mr.   Ms.

   First Name:           Family Name : 

   Affiliation:  

   Address: 

   City Code:      City:      Country: 

   E-mail: 

   Tel:           Fax: 

   Website:  http://

   Food: General   Vegetarian

　

Days Attending:

    Sunday, July 31            ( Optional guide tour of National Palace Museum;  Registration for StatPhys-Taiwan 2005 )

     Monday, August 1            ( Scientific program of StatPhys-Taiwan 2005 at Academia Sinica )

    Tuesday, August 2        ( Scientific program of StatPhys-Taiwan 2005 at Academia Sinica )

    Wednesday, August 3   ( Scientific program of StatPhys-Taiwan 2005 at Academia Sinica)

    Thursday, August 4       ( Scientific program of StatPhys-Taiwan 2005 at Chung-Yuan Christian University )

    Friday, August 5             ( Scientific program of StatPhys-Taiwan 2005 at Chung-Yuan Christian University ) 

    Saturday, August 6            ( Scientific program of StatPhys-Taiwan 2005 at Chung-Yuan Christian University )

　

Paper presentation(s):

    Participate without presentation(s)

    Participate with presentation(s)

          Oral session (at most one paper, each)

                Title :  

                Upload title & abstract file : 

                ( Remark: Only doc, txt, and tex  files ( < 0.5MB ) are allowed. If there are more than one file, please zip them into single file. )

　

          Poster session(s)

                Title 1:  

                Upload title & abstract file : 

                Title 2:  

                Upload title & abstract file :    

                 ( Remark: Only doc, txt, and tex  files ( < 0.5MB ) are allowed. If there are more than one file, please zip them into single file. )

　

           * If possible, I prefer Oral session   Poster session

  

Please help me to make hotel reservations for the following night(s):

     Saturday, July 30          ( in Taipei )

     Sunday, July 31            ( in Taipei )

    Monday, August 1         ( in Taipei )

    Tuesday, August 2        ( in Taipei )

     Wednesday, August 3   ( in Taipei )

     Thursday, August 4       ( in Chungli )

    Friday, August 5           ( in Chungli )

    Saturday, August 6       ( in Chungli )

　

   Single room   Double room   &  Roommate(s):   

 

      Hotel Option ( in Chungli ):  B1;  B2;  B3;  B4   ( corresponding hotels are listed below )

     

Hotel information:

    A. CENTER OF ACADEMIC ACTIVITIES, ACADEMIA SINICA

   http://www.sinica.edu.tw/as/law/general/room-fee-e.html

   ( Charge: Single Room: NT$800-Daily,  Double Room: NT$1200-Daily )

　

   B1. GUEST HOUSE OF CHUNG-YUAN CHRISTIAN UNIVERSITY

   ( Charge: Large: NT$960-Daily,  Medium: NT$800-Daily, Small: NT$480-Daily, can be shared by 2 people (at most)  )

　

   B2. DORMITORY OF CHUNG-YUAN CHRISTIAN UNIVERSITY ( for graduate students only)

   ( Charge: NT$800-Daily, can be shared by 4 people (at most) )

　

   B3. GIOR-GIO HOTEL (喬爵飯店) at Chungli 

   No. 216, Yan-Ping Road, Chungli City ( 中壢市延平路216號 )   (03)4622345

   ( Charge: Single Room: NT$1725-Daily & NT$1800-Daily(luxurious),  Double Room: NT$2040-Daily & NT$2145-Daily(luxurious) ;

    breakfast included ! )

　

   B4. CHINATRUST HOTEL (中信飯店) at Chungli

   http://www.chinatrust-hotel.com.tw/CRM/Default.aspx

   ( Charge: Single Room: NT$2775-Daily,  Double Room: NT$2925-Daily ; breakfast included ! )

　

　

       

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