SEMS 2010 Conference Registration Form
Conference Dates: May 24-26, 2010
Meeting information: www.southeasternmicroscopy.org

Name
Preferred Name for Badge
Position
Organization/Employer
Business Mailing Address
Home Address
City, State, Zip
Work Phone
Cell Phone
Home Phone
Fax
E-mail Address
Role Faculty Technician Student

Conference Registration Fee(s):
Pre-registration After April 24, 2010
Member $75
Nonmember $85
Student $30
Distinguished Scientist Waived
Invited Speaker Waived
Technician Travel Award Recipient Waived
Ruska Participant Waived
 
One day registration $30
 

Banquet (Tuesday, 5/25/2010)$45/person
Total Banquet Tickets Requested
Invited Speaker (one ticket waived)
Ruska Participant (one ticket waived)
Total Amount

I will attend the Low Country Seafood Boil on Sunday, 5/23/2010 (no charge)
I will attend the business breakfast on Wednesday, 5/26/2010 (no charge)

Meeting Workshops/Tour (space is limited so for planning purposes please indicate your interest in attending; you will be contacted prior to the meeting with details; commitments can be made at that time)
Confocal Microscopy Workshop
Digital Imaging Workshop
Robert Bosch Corporation Tour

Ruska Participants will be assigned roomates. Please indicate: Male Female

You have been greatly appreciated and valued for your intellectual, technical, and social contributions to the Society for many, many years. Likewise, those financial contributions graciously gifted by Members are necessary for the continued success and vitality of SEMS, one of the largest and most productive of the MSA/MAS Local Affiliated Societies. SEMS thanks you for all you do to keep SEMS alive and well.

If you would like to contribute to SEMS 2010, please indicate amount and specific direction of funds below.
 
Donation Amount
Where would you like your donation directed?
 
Grand Total: $

Method of payment to guarantee conference Pre-Registration:
Send check or money order to:

  • Attn: Karen Kelley
  • University of Florida
  • P.O. Box 110700
  • EM Group
  • Gainesville, FL 32611

On-Site Registration
Check, Money Order or Cash Only. No Credit Cards for Onsite Registration!

A block of rooms have been reserved at a discounted rate for SEMS 2010. Please go to www.francismarionhotel.com to make your reservations. If reservations are made by phone (Francis Marion, 877-756-2121), please mention that you are with the Southeastern Microscopy Society to receive the discounted rate.