Fort Collins, Colorado, USA - July 10–17, 2014 – Registration Form

Method of Payment: (select one) check____, credit card with PayPal____, Cash____

Notice: You may make a credit card payment using PayPal even if you do not have a PayPal account.

1) Register by mail and send a check with your completed registration form. Print this form, fill it out, and send it with payment to Dr. Robert P. Ellis.
Make check payable to "Biosafety and Biosecurity Course ".
Or,
2) Register by credit card through PayPal (click here to pay by credit card)

For what sessions are you paying?
a) Animal + General Sessions ($1900) ________
b) Plant + General Sessions ($1900) ________
c) Animal + General + Plant Sessions ($2100) ________

*Payment by check: Complete and send this form with payment. Checks should be made out to "Biosafety and Biosecurity Course ". Send payment to:

Dr. Robert P. Ellis
141E General Services Building, Campus Delivery 6021
Colorado State University
Fort Collins, CO USA 80523-6021

*Payment by cash: Print this form, fill it out, indicate payment will be in cash, and send the form to Dr. Robert P. Ellis. Make arrangements with Dr. Ellis to pay cash on–site prior to course session attendance.

Please type or print the following information and send with payment to Dr. Ellis:

Name:_______________________________________________________________________________

Affiliation:____________________________________________________________________________

Department of Affiliation: ________________________________________________________________

City:_________________________________ State:________ Zip/Country:_________________________

Phone:_______________________________________

E-mail: (type or print)____________________________________________________________________


*Payment by credit card through PayPal:

Select your sessions and pay with button in box number 1.
If you are paying for more than one person, pay with button in box number 2.
If you are paying for someone else please insert their name and email in the comment box.

1. Select one of the following sessions
Comment
2. Pay a varied amount.
Use this button to register for more than one person.
Sessions to be attended
Names of registrants

TopTop


REFUND POLICY: Registration fee full refund less 5%, if requested within 45 days of annual meeting; 50% refund from 44–22 days before annual meeting; no refund if requested 21 days or less before annual meeting.