2008 NBTS Meeting Registration | Neurobehavioral Teratology Society

Please fill out this form to pay 2008 NBTS Meeting Registration fees and/or make a donation.

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Registration/Donation Details

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Debit and credit cards accepted. Note: Fields marked with a plus ( + ) are required except for FREE selection with no donation.

Card Type:		If you cannot pay with a credit card, please contact the NBTS Secretary to Make other arrangements.
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Expiration Date: +
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* 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 or operating slide projectors. Those who do not wish to work can register at the full member/nonmember rate.

Deadline to avoid late registration fee is June 15, 2008.


Enter the code shown above:

Please pay on line here (form prefers Internet Explorer; website prompts you to enter the faint number code in box above to prevent random computer charges)

or mail a check payable to NBTS to "Attention-Susan M. Melnick, PhD; SK Life Science Inc.; 22-10 State Route 208; Fair Lawn, NJ 07410 (please be sure to indicate your name and any accompanying person and please make sure to include the "attention" line in the mailing address).

Refund policy for meeting registration and related fees: $30 fee charged for partial or complete refund prior to June 15, 2008. Refund may be made by check at the discretion of NBTS. After June 15,2008, no refunds will be made.

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Name

Mailing Address (if different from Billing Address Below)

Billing Address

Registration/Donation Details

Payment Details

Mailing Address
(if different from Billing Address Below)