ࡱ> _a^% bjbj%% j`GGl4<%(  $$$$$$$$<& \($$$.$$   pmH)M" $ %0<% ^)oF^) Registration Form 2nd Annual Hawaii International Conference on Sciences Honolulu, Hawaii, June 18 - 20, 2005 First Name Last Name Badge Name E-Mail Department Affiliation Mailing Address, 1st Line Mailing Address, 2nd Line Mailing Address, 3rd Line City State/Province Country Zip/Postal Code Phone FAX Registration Fee (See Page 2): $__________________ US Dollars onlyIf a kosher meal is needed, please circle here: KOSHERBreakfasts: Included in your registration fee are 3 breakfasts for June 18, 19, and 20, 2005. Order extra meals below. Breakfasts: $25 per adult, $17 per child age 5 12. Children less than five years old are complimentary. Saturday, June 18, 2005Adult ____X $25= $Child ____X $17 = $Line Total $Sunday, June 19, 2005Adult ____X $25= $Child ____X $17 = $Line Total $Monday, June 20, 2005Adult ____X $25= $Child ____X $17 = $Line Total $Lunches: Included in your registration fee are two lunches for June 18 and 19, 2005. Order extra meals below. $30 per adult, $20 per child age 5 12. Children less than five years old are complimentary. Saturday, June 18, 2005Adult ____X $30= $Child ____X $20 = $Line Total $Sunday, June 19, 2005Adult ____X $30= $Child ____X $20 = $Line Total $ EVENING EVENTS: 1. Creation - A Polynesian Odyssey cocktail show. To be held on Saturday June 18th (time TBA), at The Sheraton Princess Kaiulani Hotel Waikiki, 120 Kaiulani Ave., Honolulu, Hawaii 96815, 2nd floor showroom. $31.00 per adult X _____(# of adults) =$$22.00 per child (5-12 years) X _____(# of children) =$Children under 5 years are complimentary with an adult, number of children = _____________2. Germaines Luau ("Luau" is a Hawaiian feast). To be held on Sunday June 19th,4:15 pm pick up at Waikiki Beach Marriott Hotel, 2552 Kalakaua Ave, Honolulu, Hawaii 96815. $53.00 per adult X _____(# of adults) =$$43.00 per junior (14-20 years) X _____(# of juniors) =$$31.00 per child (6-13 years) X _____(# of children) =$Children under 6 years are complimentary with an adult, number of children = _____________ 3. Magic of Polynesia show. To be held Monday June 20th (time TBA), at The Waikiki Beachcomber Hotel, 2300 Kalakaua Ave., 2nd Floor Showroom, Honolulu, Hawaii 96815. $43.00 per adult X _____(# of adults) =$$33.00 per child (4-11 years) X _____(# of children) =$Children under 4 years are complimentary with an adult, number of children = _____________ Circle One (VISA/MC only): VISA MasterCardTOTAL PAYMENT US Dollars only $Card Number:________________ Exp. Date: __/__ 2005 Hawaii International Conference on Sciences Questions about registering for the Hawaii International Conference on Sciences: You may call us at 808-949-1452 or e-mail us at:  HYPERLINK "mailto:sciences@hicsciences.org" sciences@hicsciences.org For the latest information, please visit our website:  HYPERLINK "http://www.hicsciences.org" http://www.hicsciences.org Do you have a Federal Tax Identification Number? Yes, our Federal Identification Number is: 99-0355295. To whom should I make the check payable? To where do I send the registration form? Please fill out and print this registration form and mail with check Make checks payable to "Hawaii International Conference on Sciences" Hawaii International Conference on Sciences P.O. Box 75036 Honolulu, Hawaii 96836, USA If paying by fax, fill out and print this registration form. You can use only Visa or MasterCard. Please fax to: 808-947-2420 (USA) You may also mail in your credit card information, if you prefer. Use the same mailing address above. Registration Fees $390, if paid by April 1, 2005 $415, if paid between April 2, 2005 and April 29, 2005 $440, if paid after April 29, 2005 Registration Fee Includes: Badge (required for admittance to sessions), three breakfasts and two lunches for the registered participant, mid-morning and afternoon coffee breaks, a copy of the Conference Program, and a copy of the Conference Proceedings. *The breakfasts and lunches are served buffet-style, offering a variety of selections, including vegetarian and non-dairy items. What should I do if I need to cancel my registration? Refund and Cancellation requests must be received in writing by June 3, 2005. There is a $75 service charge for refunds on registrations. No refunds on 2. Creation - A Polynesian Odyssey after June 10, 2005. No refunds on 1. Germaines Luau after June 10, 2005. No refunds on 3. Magic of Polynesia after June 10, 2005. Can I pay online? There is no online registration payment, but the registration form with credit card info may be posted to us by fax or mail. Use mailing address or FAX number above. EVENING EVENTS: (for pricing information, see reverse): 1. Creation - A Polynesian Odyssey cocktail show on Saturday, June 18th (time TBA), at Sheraton Princess Kaiulani Hotel Waikiki, 120 Kaiulani Ave., second floor showroom. Creation - A Polynesian Journey takes the audience on a theatrical excursion to witness the mythical creation of Polynesian man and woman along with their spectacular voyage through the Pacific. The show presents a chronological story through the South Pacific Islands with an accomplished cast of performers representing the cultural music and dances of Tahiti, New Zealand, Fiji, the Marquesas Islands, Samoa and Hawaii. 2. Germaines Luau on Sunday, June 19th, 4:15 pm pick up at Waikiki Beach Marriott Hotel, 2552 Kalakaua Ave. Located on a private beach on the west coast of Oahu, Germaines Luau exudes the secret charm of old Hawaii. Indulge yourself in a multi-course-all-you-can-eat feast of the taste-tempting authentic Hawaiian and American entrees while enjoying refreshing tropical cocktails. Then sit back and enjoy the most spectacular Polynesian Revue in Hawaii. 3. Magic of Polynesia showto be held on Monday, June 20th (time TBA), at The Waikiki Beachcomber Hotel, 2300 Kalakaua Ave., 2nd Floor Showroom. A dazzling world-class production. Hawaiian legends unfold before your eyes. Mystifying illusions and special effects take the art of magic to its outer limits. Hawaii's internationally acclaimed illusionist, John Hirokawa, is a master. Keep your eyes on his hands as John casts his spell and transforms the showroom into a spellbinding arena of brilliant magic. 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