PLEASE NOTE: All presenting authors must pre-register to receive abstract acceptance. Please fill out this registration form and click SUBMIT. You will receive a confirmation with the Submit Abstract link at the bottom of the page. Click on the Submit Abstract link to continue with online abstract submission.

Please note: This online form sends your registration to the ASN business office by an unsecure email. If you wish greater security submit this form without credit card information and then please fax or mail a completed paper form of your registration information.

First Name:
Last Name:
Degree:
Abstracts: Are you the submitting author of an abstract? Please check box if yes.
Membership Category Member Non-member, Student/Postdoc** Emeritus
Department:
Institution:
Street Address:
City:  
State:
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Telephone:
Fax:
E-mail: 
E-mail (again please*):
Guest's Name
* You are requested to give your email address twice to insure accuracy.

FEES:

If submitting an abstract, you must pre-register.

Registration:
Full Registration Fee Includes: Opening Reception/Closing Party/Scientific Sessions/Abstract Book

Please mark payments in the "Select" column with an X.

Select
Category
Before January 6
After January 6
ASN MEMBERS
$295
$395
NON-MEMBERS
$425
$475
STUDENT / FELLOW**
$200
$250
EMERITUS ASN Member
$175
$200
DAY RATE***
$85
$95
WOMEN IN NEUROCHEMISTRY LUNCH
Regular / Student or Postdoc*
$20/$10*
$20/$10*
SOCIAL GUEST
(Includes Opening Recep/ClosingParty/ Tour)
$150
$150
PRE-MEETING WORKSHOP - Saturday 3/11
$100
$120

 

 

 

 

 

 

 

   

Total fees (including meeting registration, workshop, and luncheon fees):

** Students and fellows must fax a copy of proof of status to 407-876-0750 . This is required to receive the student rate.
*** One Day Registrants: Please write day attending.

Credit Card Type: Master Card or VISA (We can accept only MasterCard or VISA)
Name on Credit Card:
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Expiration date:  

Cancellation Policy: Registration fees, minus $50 handling fee, are refundable if notified by Februrary 10. After February 10, no refunds can be made. Substitutions accepted.