CNST Nanotechnology Workshop 2010

Welcome to the
Illinois CNST Annual Nanotechnology Workshop 2010
National Center for Supercomputing applications (NCSA)
Auditorium 1122, 1205 W. Clark Street
Urbana, IL
May 6 - 7, 2010

Workshop Registration
NOTE: PRE-REGISTRATION IS REQUIRED
(as it enables us to plan for seating and snacks/lunch/reception/tours)

To register, complete the form below and submit the form by clicking on the "Register" button.
You will receive email confirmation of your registration.
Note: All Fields must be filled out or the registration cannot be submitted.

Personal Information
First Name:*
Last Name:*
Job Title:
Department:*
Organization:*
Affiliation:*
Method of Payment
CFOAPAL
Address Line 1:
Address Line 2:
City:
State:
Zipcode:
Country:
Phone Number:*
Fax Number:
Email Address:*
Category
Please specify category if "other":
* required

Poster:
Please specify Poster Title:
Please specify Author(s), (FI, Last Name):

Tours and Meetings
I am interested in short tours of Nanotechnology and Biotechnology Research Labs during/at the end of the workshop:
I am interested in meeting one-on-one with CNST-UIUC faculty/industry representatives in areas of my interest:
Please specify interest area:
In case of registration submission problems or questions, please contact Frank Hoskinson at the College of Engineering: fhoskins@illinois.edu

CONTACT INFORMATION
nanotechnology@illinois.edu

D’Anne Winston
Administrative Assistant, CNST
Phone: (217) 244-1353
dwinston@illinois.edu

Or

Irfan Ahmad
Associate Director, CNST
Phone: (217) 333-2015 or (217) 333-3097
isahmad@illinois.edu

Updated March 2010