NEUROBEHAVIORAL TERATOLOGY SOCIETY (35th ANNUAL MEETING)
JUNE 25 - 29, Coronado, California

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Registration/Donation Details

I. REGISTRATION FEES FOR ENTIRE CONFERENCE Member Status - Check all that apply:   NBTS  TS    US $290 - NBTS Member (Includes all scientific sessions, President's Reception, poster sessions/mixers, coffee/refreshment breaks) US $345 - Non-Member of NBTS (Includes all scientific sessions, President's Reception, poster sessions/mixers, coffee/refreshment breaks) US $165 - Member Student/Postdoc/Lab Assistant (Includes same as above) * US $215 - Non-Member - Student/Postdoc/Lab Assistant(Includes same as above) * US $165 - Emeritus Member FREE - Invited Speaker Registration (no cost) US $653 Joint registration: NBTS and Teratology Society (TS) - $751 after May 15 US $90 - NBTS Member Single Day Attendance (No social events included) US $115 - Non-Member Single Day Attendance (No social events included) US $55 - Member Student/Postdoc/Lab Assistant - Single Day Attendance US $89 - Non-Member - Student/Postdoc/Lab Assistant - Single Day Attendance   US $100 Accompanying Person - Entire Conference       Name:   US $30 Accompanying Person ? Single Day       Name:         II. LATE REGISTRATION    US $30  (For single registrations, after June 15th, add $30 to above) US $98 (For joint NBTS and TS registrations, after May 15th, add $98)         III. VOLUNTARY CONTRIBUTION to support Conference Awards     US$ IV. TOTAL:

Payment Details

Debit and credit cards accepted. Note: Fields marked with a plus ( + ) are required except for FREE selection with no donation. Card Type: VISA MasterCard   If you cannot pay with a credit card, please contact the NBTS Secretary to Make other arrangements. Card Number: +   Expiration Date: +   01 02 03 04 05 06 07 08 09 10 11 12 12 13 14 15 16 17 18 19 20 21 22 Name on Card: +

* OPTION: To receive reduced fee for full conference, students/postdocs/lab asst. are required to work minimum of 2 hours at the NBTS registration desk. Those who do not wish to work can register at the full member/nonmember rate.

Deadline to avoid late registration fee is June 15, 2011.

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Please pay online by logging on to https://www.nbts.org and click on registration link under the News/Announcement section (form prefers Internet Explorer). To pay by check: make check payable to NBTS and mail to Lori Driscoll, Ph.D., Colorado College, 14 E. Cache La Poudre, Colorado Springs, CO 80903 (please be sure to indicate your name and any accompanying person).

Refund policy for meeting registration and related fees: $30 fee charged for partial or complete refund prior to June 15, 2011. Refund may be made by check at the discretion of NBTS. After June 15,2011, no refunds will be made.



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