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MontrealTech
2005 MTC = 2005 MontrealTech Congress
Niagara Falls (Canada)
July 4 - 7, 2005
Monday - Thursday
Languages: English, French
Application Form - Deadlines (Submission, Fees)
2005 MTC = 2005 MontrealTech Congress
Niagara Falls (Canada)
July 4 - 7, 2005
Monday - Thursday
For participation in the 2005 MontrealTech Congress, you should fill in this
application form and send it by email to:
2005congress1_ApplicationForm@montrealtech.org
A Congress Representative will review your application and notify you of your
Application Form.
Presenters, who register and pay the corresponding registration fees, will be
chronologically
given priority for the confirmation of their status in congress schedule.
APPLICATION FORM DATE ___________________________
Title/Position*** (Prof., Ph.D., Director or ..., Mrs, Ms, Mr,)________________________
First NAME***______________________________________ Initials to follow name ________
Last (Family) NAME***
_________________________________________________________
Name I like to be called
__________________________________
I am bringing a companion ________yes _________no
Name of companion __________________________________
Status of companion (author or non-author
participant)
I am a companion ________yes _________no
of M. __________________________________
Status of M (author or non-author participant)
I am a member of
:
_____________________________________________________________________________
I have submitted a paper proposal(s) to committee
___________yes ____________no
Date of submission ________________________________
Title and Section* of your proposal :
1.______________________________________________________________
2.______________________________________________________________
3.______________________________________________________________
Interdisciplinary
Profession___________________________________________
Related Professional (please indicate your main occupation)
Affiliation*** (Organization/Company)**_____________________________________________
Address__________________________________________________________
City__________________________________________________
State/Country***_____________________________________________Zip
Code***_________________
Office Phone***______________________________or Home Phone_________________________
Fax___________________
Cell/Mobile
Phone___________________________________________________________________________________
E-mail***____________________________________
Second E-mail
Website___________________________________________________
End of APPLICATION FORM
CLICK
HERE TO SUBMIT
or submit to :
2005congress1_ApplicationForm@montrealtech.org
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Details :
{ * :
Plenary Sessions - Sections:
* Section F. Fundamental Global/Local, Macro, Micro & Nanoscale (Industrial, Bio-, Earth-, Space-) Technologies/Methodologies: 2005congress4_Fundam@montrealtech.org
* Section A. Applied Global/Local, Macro, Micro & Nanoscale (Industrial, Bio-, Earth-, Space-) Technologies/Methodologies: 2005congress5_Applied@montrealtech.org
* Section P/E. Philosophy/Education and
Global/Local, Macro, Micro & Nanoscale (Industrial,
Bio-, Earth-, Space-) Technologies/Methodologies:
2005congress6_Edu@montrealtech.org
* Selected Additional Sessions 2005congress3_SelectedSession@montrealtech.org
* NON-author participants
2005congress7_NONauthor@montrealtech.org }
{{ ** :
Academic Institute
Research Institute
Biotech/Nanotech Company
(Aero)Space and Maritime Industry
Communication Technology Industry
Industry (other)
Consulting
Contract Research Organization
Diagnostics
e-Business
Finance
Government
Investor
Law
Medical Devices
Pharmaceutical Company
Press
Service
Technology Organization
VC
Other
If "other" please describe : ______________________
}}
{{{ *** : Required Field }}}
w_Help_2005congress@montrealtech.org
