Mail In CRWAD Meeting Registration Form

Must be postmarked by November 7 for pre-registration – Pre-Registration Will Close November 7; On-site is Available)

The Annual CRWAD Meeting will be held December 7 – 9, 2014 at the Chicago Marriott, Downtown Magnificent Mile, Chicago, Illinois.  Presentations will conclude by 1 pm Tuesday afternoon, December 9.  The attendance is limited to CRWAD members, participants on the program and guests invited by the Council.

Meeting Registration Options:

1) Register by mail and send a check with your completed registration form. You may also print this form and email it or fax (970-204-6684) it to Dr. Ellis.
Please print this form, fill it out, and send it with payment to Dr. Robert P. Ellis.

Make check payable to CRWAD. Send payment to Dr. Robert P. Ellis, CRWAD, Dept. of MIP, Colorado State University, Fort Collins, CO 80523–1682.
Or,
2) Register by credit card through PayPal (click here to pay by credit card)

Please type or print the following information:

Name:_______________________________________________________________________________

Affiliation:____________________________________________________________________________

Department of Affiliation: ________________________________________________________________

City:_________________________________ State:________ Zip/Country:_________________________

Phone:_______________________________________

E-mail: (type or print)____________________________________________________________________


Please note: You are not a member until you have applied for membership and the Council has granted membership. Non-members must register as either a guest, or a post–doc, or a fulltime student.
*The abstracts are available on-line at the Meeting Planner and Itinerary Builder. You may also purchase a Proceedings Booklet.

Approved Member Registration: $120 (includes Program) ________________
Member:  2014 Dues $70.00 (Dues do not cover registration) ________________
Unpaid Dues: $70.00 per past year    ________________
Fulltime Student/CRWAD Student Member: $70.00 (includes Program)
Student ID will be required when you pick up your name badge.
________________
Post–Doc or Resident: $90.00 (includes Program)
ID will be required when you pick up your name badge.
________________
Guest and/or Member Applicant: $325.00 (includes Program) ________________
Proceedings Booklet (includes Abstracts and Program): $30.00 at on–site
$35 if mailed to North America; $45 if mailed to outside of North America
    
________________
Total Amount Due (US funds only):
________________

*REFUND POLICY: Registration fee full refund,less $20, 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.

Presenters and attendees will be required to wear their CRWAD name badge for admittance to the meeting rooms and poster sessions.
Presenters must be registered for the meeting and will be required to wear their CRWAD name badge during their presentations.

Please place your hotel sleeping room reservations at the following custom web site:
*Chicago Marriott (Downtown) Hotel custom CRWAD Room Reservations Web site; or, call (Toll–Free: 1–877–303–0104 ; or 1–866–596–7456 for international calls), by asking for the CRWAD group rate. Make your reservations at the Hotel by November 12.

For those who need a US Visa in order to attend the CRWAD meeting please start your application process early.

Proceedings: If you want to purchase a 2014 Proceedings please contact us. The on–line abstracts (searchable and printable) are accessible from the Meeting Planner and Itinerary Builder.

If you would like to present at the Annual CRWAD Meeting or would like an invitation to the meeting please contact Dr. Ellis.

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