North Atlantic Chapter - SETAC  

North Atlantic Chapter
of the
Society for Environmental Toxicology and Chemistry
 

Meeting Registration Form



 





 

MEETING PRE-REGISTRATION / REGISTRATION
SETAC North Atlantic Chapter 16th Annual Meeting & Short Course
2 - 4 June 2010

Please complete form and submit online using the buttons below:

Name:
Affiliation:
Address: 
 
 
Phone:

Fax: email:

You may join or renew membership with your registration to obtain the Member rates
My membership is current  $0
Please renew my membership  $
I am a student  $0
I want to join
(Fill out a member form after payment)		  $
No thanks, I will just attend  $0

Select Appropriate MEETING REGISTRATION Category:
Select Pre-registrationa   Registration
Memberb or Government Entity $ $
Non-Member   $ $
Student (Member or Non-Member) $ $
Not attending this function $0 $0

Students: Check ALL appropriate categories applying to you (descriptions on student info pages):

1st Time Student Platform Presenter 1st Time Student Poster Presenter Student Platform Award Student Poster Award Student Travel Award I am Not Presenting

Select Appropriate SHORT COURSE REGISTRATION Category:

 

Select

  Pre-Registrationa  Registration
 Memberb or Government Entity $ $
 Non-Member  $ $
 Student (Member / Non-Member) $ $
 Not attending this function $0 $0

        This short course is limited to 50 registrants.

You may have additional guests at the  THURSDAY NIGHT  DINNER:

Select

  Dinner   
 Number of additional Guests:  $ each

 

 

 


Select your Payment Method: 
Credit Card / Paypal   Check

ENTER TOTAL REMITTANCE HERE:  $   

Submit the form after payment calculation:    

a The pre-registration period ends 15 May 2010 for the General Meeting and Short Course.
b If you include a membership application (see Membership page for form) and dues with your meeting registration, you are eligible for the member's registration rate for this meeting (as well as all the other benefits of membership in NAC).

THE DINNER EVENT IS INCLUDED IN THE COST OF MEETING REGISTRATION THIS YEAR.

Please note:
Attendees may register for short course and/or meeting independently of one another.  Membership in NAC/SETAC is not required for participation.

Information: 

Annual meeting: Registrations & Website:

Make check ($US) payable to NAC/SETAC. Walk-in registrations will be accepted.

Send general meeting & short course registration with payment to be received by 29 May 2010 to:

Treasurer
Attn:  Doranne Borsay Horowitz
Atlantic Ecology Division
U.S. Environmental Protection Agency
27 Tarzwell Drive
Narragansett, Rhode Island 02882
Phone: (401) 782-3042
Email: webmaster@nacsetac.org
 

RETURN TO ANNUAL MEETING INFO PAGES                        RETURN TO HOME PAGE

 
   Last changed on April 16, 2010

     Please direct any suggestions or comments to webmaster, Dodi Borsay Horowitz, at webmaster@nacsetac.org