North Atlantic Chapter - SETAC  

North Atlantic Chapter
of the
Society for Environmental Toxicology and Chemistry
 

Short Course Registration Form



 





 

PRE-REGISTRATION / REGISTRATION
 SETAC North Atlantic Chapter Statistics Short Course
30 September 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
I am a current member of NAC/SETAC  $0
Please renew my NAC/SETAC membership  $
I am a student  $0
I want to join NAC/SETAC
(Fill out a member form after payment)		  $
No thanks, I will just attend  $0

Select Appropriate SHORT COURSE REGISTRATION Category*:
 

Select

  Pre-Registrationa  Registrationc
 Memberb or Government Entity $ $
 Non-Member  $ $
 Student (Member / Non-Member) $ $
Select your Payment Method: 
Credit Card / Paypal  Check

TOTAL REMITTANCE:  $   

Submit the form after payment calculation:    

a The pre-registration period ends 15 September 2010 for the 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).
c Late fee of $50 will be applied to all registrations received after 15 September.

Please note:  Membership in NAC/SETAC is not required for participation.

Information: 

Short Course chair: Jim Hauri, jhauri@assumption.edu
NAC/SETAC President:  Lisa McIntosh, LMcIntosh@woodardcurran.com
Treasurer/Secretary:  Dodi Borsay Horowitz, webmaster@nacsetac.org

Walk-in registrations accepted based on space availability. Course limit 50 attendees.

Make all checks payable to NAC/SETAC.

Send registrations with payments in U.S. funds to be received by 9/28/10 to:
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 SHORT COURSE INFO PAGES                        RETURN TO HOME PAGE

   Last changed on March 16, 2011

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