Meeting Summary & Registration Brochure - Microscopy Society of ...

M&M 2009ATTENDEE REGISTRATION FORMRichmond, VA July 26-30Online registration available at http://MM2009.microscopy.orgReduced Rates Valid through June 15, 2009Early Deadline is June 15!INSTRUCTIONSSTEP 1 ATTENDEE INFORMATION1. Be sure to complete both pages of thisregistration form.2. Please print all information.3. Use separate form for each attendeeregistration.4. To avoid duplicate charges, do not mailform after faxing.5. Payment must be in U.S. Dollars.6. Faxed forms without valid credit cardinformation WILL NOT be processed.7. Only registrations with FULL paymentwill be processed. NO EXCEPTIONS.8. Deadline to register with AdvanceDiscount is June 15, 2009 (fax must bedate-stamped and mail must be postmarkedJune 15 or earlier).9. After July 21, please bring form with youto register on-site.10. CANCELLATION POLICY: Refundrequests will be honored (less $55processing fee) if received in writing byJuly 9, 2009. Email MMRegistration@conferencemanagers.com or fax (703)964-1246. No refunds will be givenafter July 9, 2009.PLEASE NOTE: No-shows, including,but not limited to, cancelled/delayedtravel and/or inability to enter the US, arenon-refundable. Refunds will NOT begiven for social event tickets.11. All paid registrations (excluding ExhibitHall Only) include access to thescientific sessions.12. Program Cancellation: In the unlikelyevent of conference cancellation, MSAwill refund 100 percent of registrationfees paid. MSA assumes no liabilityfor any penalty fees on airline tickets,deposits for hotel accommodations, orany other fees, charges, penalties, orother incidental costs that a registrantmight incur as a consequence ofcancellation.For additional information, contact ConferenceRegistration at (703) 964-1240 x17 orMMRegistration@conferencemanagers.com.Online:Fax:Mail:Register online athttp://MM2009.microscopy.org(available February 2, 2009)Fax your registration form withcredit card payment information to(703) 964-1246.Mail completed form with creditcard information or check to:M&M 2009 Registration11260 Roger Bacon Drive,Suite 500Reston, VA 20190MSA Member ID MAS Member ID IMS Member ID_____________________________________________________________________________First Name MI Last Name_____________________________________________________________________________Title/Degree(s)Affiliation/University/Company_____________________________________________________________________________Email Address (REQUIRED-confirmations will be sent via email)_____________________________________________________________________________Address_____________________________________________________________________________City State/Province Zip/Postal Code Country_____________________________________________________________________________Phone (country code/area code/number)Fax (country code/area code/number)q I require special accommodation due to disability, health concerns, or physical challenges tofully participate in the M&M meeting. I have attached a written description of my needs.q Check if you do not wish to have your email and mailing address shared with our exhibitorsand sponsors. (Phone and fax numbers are never shared.) Checking this box will preventreceipt of hospitality event and extra-curricular educational invitations.STEP 2 CONFERENCE REGISTRATIONMember rates apply to members of all sponsoring societies (see box in STEP 1). Optional eventsin Steps 3-4 are NOT included in any conference registration package and must be purchasedseparately. Partial-day registration can be used for one day; two or more days require fullmeeting registration. (Conference Proceedings and Sunday Reception Ticket are included unlessotherwise indicated.)Check the box next to your selection EARLY REGULAR TotalOn or before June 15 June 16-July 21q In-Meeting Intensive Workshops $850 $950 $_______(Includes FULL MEETING registration andone workshop; check below. See Call forPapers for details.)Please check which you will attend (check only one):q X20 Basic Confocal Light Microscopyq X21 Introduction to SEM Imaging and X-ray Compositional Analysisq X22 Nanomaterial Microscopy & Microanalysis: Tools and Preparationq X23 High-resolution TEMq Member or q Invited Speaker (Full Meeting) $370 $475 $_______q Non-Member (Full Meeting) $475 $580 $_______q Student Member (Full Meeting)* $160 $160 $_______proof of student status req’d.q Student Non-Member (Full Meeting)* $160 $160 $_______no proceedings or Sunday Reception ticketq Emeritus Member (Full Meeting) $160 $160 $_______no proceedings or Sunday Reception ticketq Partial Meeting One Day $185 $210 $_______no proceedings or Sunday Reception ticketSpecify Day: q Mon q Tue q Wed q Thuq Exhibit Hall Only Pass: $25 $25 $_______*q | wish to apply for a student bursary and will be expected to work a minimumof 20 hours during the meeting and/or pre-meeting events. Please contact me.10M&M 2009 MeetingTOTAL STEP 2$_______