Registration

Registration includes lunch on Friday, 3 breaks, and a program and abstract book. The Friday night dinner cruise is a separate expense and you must sign up as the Island Girl has a limited number of seats.

Pre-registration (through October 5, 2009) fees:

	Includes branch membership dues*	Does not include branch membership dues
Full member	$60	$50
Student member	$30	$25

*Includes branch membership dues at $10 for full members and $5 for student
members for those that did not pay the branch membership for 2009 through ASM

Late (after October 5, 2009) and on-site registration fees:

	Includes branch membership dues*	Does not include branch membership dues
Full member	$70	$60
Student member	$35	$30

*Includes branch membership dues at $10 for full members and $5 for student
members for those that did not pay the branch membership for 2009 through ASM

Island Girl Dinner Cruise (optional)*: $35/person
Mississippi River luxury yacht cruise on the Island Girl with a sit down dinner and cash bar. *Undergraduate and graduate oral presenters have their cruise fees paid for courtesy of an ASM Branch Funding grant.

You may either register on-line using the form below or through the mail by printing out and completing the pdf file.

Registration Form

Personal information:

Name:

Organization:

Address:

Work phone: E-mail:

Registration information:

Did you pay your 2009 NCB-ASM dues when you paid your ASM dues?

Yes
No

Are you a vegetarian? yes no

If you or an accompanying person require special accommodations to fully participate, please describe your needs:

Are you willing to serve as an oral presentation judge? yes no

Will you require a parking pass for Friday, Oct. 9th? yes no

Registration Fees:

Island Girl Dinner Cruise Fees: $35/person ($0 if you are a student oral presenter)

Number of people attending: Total Cruise Fees:

Indicate your desired meal choice (if more than 1 person is attending the cruise please indicate the number of meals needed for the choice in the text box following the meal):
   Roasted Pork
   Herb Chicken
   Cheese Tortellini

Total Registration Fees Due:

To complete the registration process, hit "submit" below and mail in your payment. Please make the check to NCB-ASM and mail to :

Marc Rott, NCB-ASM Treasurer
3030 Cowley Hall
Department of Microbiology
University of Wisconsin – La Crosse
1725 State Street
La Crosse, WI 54601