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Payment by Credit CardIn order to pay your course registration fee for the Principles of STD /HIV Research course by major credit card (MasterCard or Visa only), please PRINT and FAX this form to 206-744-3693 in care of Christine Makela. We offer a tiered fee structure for this course with reduced fees for participants from non-OECD countries. The fee for non-OECD countries is $499, while the fee for OEDC countries (Australia, Austria, Belgium, Canada, Czech Republic, Denmark, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Japan, Korea, Luxembourg, Mexico, Netherlands, New Zealand, Norway, Poland, Portugal, Slovak Republic, Spain, Sweden, Switzerland, Turkey, United Kingdom, United States) is $750 NOTE: Your registration will not be confirmed unless payment is received or scholarship is awarded. Principles of Research on AIDS
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By completing the form above, I hereby authorize the University of Washington to charge $499 for non-OECD participants and $750 for OECD participants in course registration fees for the Principles of STD/HIV Research course, July 20-30, 2009. .