21ST Annual meeting REGISTRATION

2008 AMLI Annual Meeting
The Grand Hyatt
Seattle, Washington
August 9-12, 2008

REGISTRATION FORM

[PDF File for Printing]

Name

 

Degree

 

Institution

 

Address

 

 

City, State, ZIP

 

Telephone

 

E-mail

 

Current Member

___ $275 Before July 1, 2008
___ $300
After July 1, 2008
___ $125
Daily Fee

Non-Member

___ $335 Before July 1, 2008
___ $360
After July 1, 2008
___ $125
Daily Fee

Students & Postdoctorals
(letter from mentor required)

___ $125 Before July 1, 2008
___ $150
After July 1, 2008
___ $100
Daily Fee

Annual Dinner
(Please include payment with registration)

(Details coming soon)

___ $35 per Registered Member
___ $60 per
Non-Member & Guest

 

 

Payment Info

 

___ Check enclosed (payable to AMLI)

___ Credit Card (circle one)  
        VISA       MasterCard
Card# ______________________
Exp Date _____________
Name on Card ________________


Signature ____________________
Date _________________

Amount of charge:  $___________

Print & Mail Completed Form and Payment to:
Maggie Fogel, AMLI Administrator
34 West 83rd Street, Suite R
New York, New York 10024
TEL 212-873-2955
FAX 212-873-2344
maggie@maggiefogel.com

Cancellation Policy: If it is necessary to cancel registrations, all fees will be returned less a $35 administrative fee.