Registration Information
Everyone attending the meeting must register and obtain an identification badge. All registrants are invited to attend any or all of the scientific sessions. All interested clinical laboratory professionals are invited and encouraged to attend. Registrants who identify themselves as a current individual (not corporate) member of one of the listed professional organizations (ASCLS, AMT, PABB) will receive “member” registration rates.
Before completing the registration form, please read all of these instructions carefully.
1. Please type or print legibly, all information. Register one person per application. Registration forms may be duplicated if necessary.
2. Telephone registrations will not be accepted.
3. The member category applies to members of ASCLS, AMT or PABB. Membership will be verified.
4. Daily registration entitles the registrant to attend all non-fee functions for that day, including refreshment breaks and lunch. Note that it does not include dinner.
5. The reservation fee for the Tuesday evening Networking Dinner is listed on the registration form. Please indicate the appropriate fee if you plan to attend. Tickets for the dinner may not be available on-site.
6. Hotel reservations are to be made directly with Days Inn, Phone #, or the Comfort Inn Phone #, Monday to Friday 8am – 6pm. Ask for the reservation department when you call.
7. Registration forms must be postmarked no later than May 1, 2009 to receive the advanced registration rates listed in this program. After May 1, 2009, all registration fees will increase by $25.00 (see special fee section on registration form). Do not mail registration forms after May 1, 2009, but instead please register on-site.
8. No refunds will be honored if notification is received after May 1, 2009.
9. On the registration form, please circle the numbers which correspond to the sessions you plan to attend. Please note, this does not oblige you to attend a certain session, but is used for room size planning only.
10. If you have any registration questions, call 1-610-988-8273 or e-mail us at sstra610@aol.com.
Registration Check List Did You… ? Sign Up to Attend the Networking Dinner ? Enclose Your Check made payable to ASCLS-PA or give your credit card information ? Circle the Sessions you plan to attend ? Directly contact the Hotel. Don’t forget to ask for the ASCLS-PA Annual Spring Meeting special discounted room rate ? Please bring this copy of your program with you to the meeting
Advance Registration – May 1, 2009 Important: Please read all of the registration instructions before completing. This form may be duplicated.
Name:
Preferred Mailing Address:
City: State: Zip: Day Phone:
Business Affiliation: Email:
Professional Society Membership: ASCLS PABB (check all that apply and give AMT membership number)
Tuesday Wednesday Member (see box above) 100.00 100.00 Non Member 125.00 125.00 Student Member (see box above) 40.00 40.00 Student Non Member 50.00 50.00
Circle the appropriate day(s) to let us know when you plan to attend the meeting, and enter the total fee required ÞÞÞÞÞÞÞÞÞÞÞÞÞÞÞÞÞÞÞÞÞÞÞÞÞÞÞÞÞÞÞÞÞÞsubtotal:
Additional Fees: Networking Dinner (Tuesday) $35.00 ÞÞÞÞÞÞÞÞÞÞÞÞÞÞÞÞÞÞÞÞ subtotal:
Registration being postmarked after May 1, 2009, add $25 ÞÞÞÞÞÞÞÞÞ subtotal:
GRAND TOTAL (Please remit with check made payable to “ASCLS-PA”) ÞÞÞÞÞÞÞÞÞÞÞ TOTAL: Mail completed registration form with appropriate fees to: Sharon Strauss 8 Lakeview Court Sinking Spring PA 19608
If you wish to charge your registration, please complete the following:
MC / VISA / Discover # Exp. Date: Is this a corporate card? Yes / No
Name as it appears on the card: Signature of Cardholder:
Billing Address of Card (if different from above):
Reminder: Registration Forms must be postmarked no later than May 1, 2009 to receive the advanced registration rates. All registration fees will increase by $25.00 after this date, including on this form (see above). Do not mail your registration after 4/1/09, but register onsite.
Please circle the numbers corresponding to the sessions you plan to attend (to be used for room size requirements only.)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46
For specific questions, call 610-988-8273 or e-mail us at sstra610@aol.com
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This website last modified 01/13/2010 |