Great Wall 2010 International Congress on Medical Physics
& The 15th National Annual Meeting of Chinese Society of Medical Physics

Nanjing, China
18-22, 2010

Registration Form


Name:__________________ __________________degree:______________Mr. Ms. 

                           (family name)         (given name)



________________________________ Postal code:_________________

Telephone: _______________________ Fax:  ________________________

 E-mail: ______________________________________________ Please print clearly

Registration fees*:

Participant:                  Early (before June 30, 2010)     US$250

Late   (after June 30, 2010)      US$300                                


Companion Name: ________________________US$150  Total: $__________

*These fees are for participants outside Mainland China.

*Refund Policy: 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:

Jie Shi, Ph.D.

Treasurer, NACMPA

P.O. Box 411721

Melbourne, FL 32941-1721