51st Annual Meeting & ToxExpo - Society of Toxicology

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Society of Toxicology 2012 Registration Registration Registration for the Annual Meeting is available now. Register by January 27 to get the Early Bird Rate to avoid on-site registration lines and ensure that you receive your registration materials before the meeting. Registration is available online, via fax, or can be mailed to SOT Headquarters. Online Registration SOT members and non-members are invited to register for the 2012 SOT Annual Meeting using the SOT Online Registration system. The system is designed for those who will be paying their registration fee by credit card. Registration information can be accessed via the SOT website at www.toxicology.org/ register. After registering, you will receive an electronic confirmation. If you do not, please send an email to jimd@toxicology.org. Mail or Fax Registration Registrants may fax or mail their registration payments using the Registration Form located on pages 31 and 33. Please type or print clearly. No phone registrations will be accepted. Please send Registration Forms to: or SOT Registration PO Box 91895 Washington, DC 20090-1895 SOT Headquarters (Faxes require credit card payment) Fax: 703.438.3113 Express packages must be mailed to: SOT Headquarters Registration Dept. 1821 Michael Faraday Drive, Suite 300 Reston, VA 20190 Forms will be date-stamped as they arrive. This is your date of registration. Fax registrations will be accepted by SOT Headquarters only if a credit card number is clearly listed in the appropriate area. NOTE: To prevent double-billing, if you are registering by fax, DO NOT mail your original Registration Form. SOT needs only one copy for processing. All mailed and faxed Registration Forms will be processed online by SOT staff. Registration Materials Badges and event tickets will be mailed in advance if you register by January 27, 2012. When you arrive at the Moscone Convention Center, please go to the registration area located in the South Lobby to pick up your registration materials that were not mailed (i.e., The Toxicologist on CD-ROM, the ToxExpo Directory, and other supplementary materials). You must present your 2012 Annual Meeting badge to obtain these items. The materials will be available in bins near the registration area. If you have not already registered or have not received your badge when you arrive at the meeting, please go to the registration counters. NOTE: If you are registered and have your badge, you do not need to stand in the registration line. Registration Guidelines Payment Registration Forms will be returned if not accompanied by one of the following methods of payment: • Check (company or personal); United States Currency only. Please list all registrants on check memo or check stub • Government Purchase Order. (Check must be drawn from the US Department of Treasury) • Money Order • Visa, MasterCard, Discover, Diner’s Club, or American Express 30 Registration Deadlines • Early Bird Registration: January 27, 2012 • Standard Registration: February 17, 2012 • Final Registration after: February 17, 2012 DO NOT mail your Registration Form to SOT if it will arrive after March 7, 2012. SOT will accept Annual Meeting Registrations until March 7. After March 7, registrations not processed online will only be accepted on-site at the Annual Meeting. The online registration system will be open throughout the meeting and if you register online after March 7, 2012, you can easily pick up your badge at the “BADGE PICK UP ONLY” registration counter. Registration Discount to Non-Members Special offer to non-member 2012 Annual Meeting attendees: apply for membership by May 1, 2012, and if accepted, SOT will waive your 2012 dues. Guest/Spouse Registration The SOT Guest/Spouse Hospitality Room provides guest participants (nonscientists) with a place to meet and socialize with other guests. The room will be open Sunday through Thursday, and information on local attractions, rental cars, and tours will be available there. Guests and spouses must be registered for the Annual Meeting to access the Hospitality Room. Guests must register with the person they are accompanying. Reminder: Guest registrants and children under the age of 15 are not permitted in the Exhibit Hall at any time or in scientific sessions unless consent is given by the session chair. One-Day Registration There is no reduced fee for one-day registration. (continued on page 34) SOT’s 51 st Annual Meeting
(Required: Please check the appropriate box) PLEASE PRINT CLEARLY OR TYPE q SOT Member q Non-Member Badge Name: ________________________________________________________________________________________________ First Name/Middle Initial: ________________________________________________________________________________________________________________________ Last Name: ____________________________________________________________________________Professional Degree(s): ___________________________________ Organization Name: _____________________________________________________________________________________________________________________________ (Is this a new employer and/or new address? _____ Yes _____ No) Company (second line): ________________________________________________________________________________________________________________________ Department: ____________________________________________________________________________________________________________________________________ Street Address: __________________________________________________________________________________________________________________________________ City/Region: ______________________________________________ State/Prov: ______________________ Postal Code: _____________ Country: ____________________ Area Code/Phone Number: ___________________________________________________________Fax Number: ________________________________________________ Email Address: __________________________________________________________________________________________________________________________________ Special Accessibility Requirements: _________________________________________________________________________________________________________________ If you are a Student or Postdoc registrant, please provide the following information: q Postdoc q Graduate Student q Undergraduate Student (Fax or mail a copy of Student ID with the form) FOR OFFICE USE ONLY Date Received: ____________ Input: q Initials: __________ Institution: _____________________________________________________________ Advisor’s Name: __________________________________________________________ Advisor’s Phone Number: __________________________________________________ Advisor’s Email: __________________________________________________________ REGISTRATIOn fEES: Early Bird Registration Standard Registration Final Registration (Received by Jan. 27) (Jan. 28 to Feb. 17) (After Feb. 17*) SOT Member $300 $360 $420 $ ________________ Non-Member** $600 $660 $720 $ ________________ SOT Retired/Emeritus Member $ 70 $120 $170 $ ________________ Postdoctoral SOT Member $ 85 $135 $185 $ ________________ Postdoctoral Non-Member** $170 $220 $270 $ ________________ Graduate Student Member $ 65 $115 $165 $ ________________ Graduate Student Non-Member** $130 $180 $230 $ ________________ Undergraduate Student $ 0 $ 0 $ 0 $ ________________ (Copy of Student ID Required) Registration Form (Part 1) SOT 51 st Annual Meeting March 11–15, 2012 SOT Affiliate $ 0 $ 0 $ 0 $ ________________ Press $ 0 $ 0 $ 0 $ ________________ Guest/Spouse (Non-Scientist) $ 70 $ 85 $100 $ ________________ Guest/Spouse Name: _______________________________________________________________________ R2012 METhOD Of PAYMEnT: All registrations submitted by hard copy or fax will be processed on-line by SOT staff. q Check or Money Order # _________________________________________________ Government Purchase Order # _______________________________________________ (US GOVERNMENT PO FORM MUST BE ATTACHED) Registration Fee(s) (from part 1) $ __________________ Continuing Education Courses (from part 2) $ __________________ Student and Postdoc Functions (from part 2) $ __________________ Optional Abstract Material (from part 2) $ __________________ TOTAL DUE $ __________________ q American Express q Diner’s Club q Discover q MasterCard q Visa Credit Card #: _______________________________________________________________________________________________ Expiration Date: _______________ Signature: __________________________________________________________ Cardholder’s Printed Name: ______________________________________________ *After February 17, Final Registration rates apply. SOT will accept faxed Registration Forms until March 7. Online registration will be open until March 15. On-Site Registration Forms will be available at the Annual Meeting Registration Desk. **Special offer to non-member 2012 Annual Meeting attendees: apply for membership by May 1, 2012, and if accepted, SOT will waive your 2012 dues. RETURN THIS TWO-PAGE FORM WITH PAYMENT TO: Society of Toxicology • PO Box 91895 • Washington, DC 20090-1895 Faxed forms are accepted only if using a credit card. Fax form to: 703.438.3113. US GOVERNMENT PURCHASE ORDERS MAY BE FAXED OR MAILED WITH THE REGISTRATION FORM. Express packages may be mailed to: SOT Headquarters Registration Dept., 1821 Michael Faraday Drive, Suite 300, Reston, VA 20190-5332 Questions? Contact SOT • Tel: 703.438.3115 • Email: sothq@toxicology.org up-to-date information at www.toxicology.org 31 (Part 2 continued on page 33)
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Page 41 and 42: Congratulations! Society of Toxicol
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SOT If your company is interested i
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It all adds up to an uncommonly ric
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up-to-date information at www.toxic
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San Francisco, California Exhibitor
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Appreciates the Generous 51st Annua
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51st Annual Meeting & ToxExpo - Society of Toxicology

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