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 18th Annual Meeting & Short Course
6 - 8 June 2012

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) $ $
Student Complete Package $ N/A
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

Student Complete Meeting Package - Available until April 1.

I will be sharing my room with:

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

Select Appropriate WEDNESDAY NIGHT BUFFET DINNER choice:

 Attending The Wednesday Dinner ($) Yes No
 Number of additional Wed. Guests:  $ each

Select Appropriate THURSDAY NIGHT BUFFET DINNER choice:
 Attending The Thursday Dinner ($) Yes No
 Number of additional Thurs. 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 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).

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 check payments to be received by 01 June 2012 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 January 29, 2012

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