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2006
Annual Meeting Registration Form
50th Annual Meeting
Millikin University,
Decatur, IL
October 26-28, 2006
NAME:
_________________________________________________ DATE: ____________________
TITLE:
_____________________________________________________________________________
DEPARTMENT:______________________________________________________________________
INSTITUTION:
_______________________________________________________________________
STREET ADDRESS: _________________________________________________________________
CITY:
__________________________________ STATE: ______________ ZIP CODE: ____________
ADDRESS
PREFERRED FOR MAILINGS: _______________________________________________
___________________________________________________________________________________
CITY:
_______________________________ STATE: _____________
ZIP CODE: ____________
WORK PHONE:
___________________ FAX NUMBER:
_________________________________
HOME PHONE:
___________________ EMAIL ADDRESS: _________________________________
Entire Conference Registration Fee: Includes
all presentations as well as the BioQUEST workshop, meals Friday a.m. through Sat noon,
refreshments at breaks, and most field trips.
Membership status
Regular Member
Regular member + 2007 dues
New Member (includes 2007 dues)
Non-Member
Non-Participating guest/spouse
Student (Grad or Undergrad)
K-12 teacher
Friday evening dinner only
Field trip to Scovill Zoo |
by 9/20/06
$ 90
$120
$120
$120
$ 60
$ 60
$ 60
$ 15
$2.50
|
after
9/20/06
$100
$130
$130
$130
$ 65
$ 65
$ 65
$ 15
$2.50
|
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Saturday-only registration
includes Saturday presentations, lunch and BioQUEST workshop |
Saturday Only Participant
ACUBE member + BioQUEST
ACUBEmember + BioQUEST + 2007 dues
New Member + BioQUEST
Non-Member + BioQUEST |
$30
$60
$60
$60 |
$40
$70
$70
$75 |
Field Trips and Workshop:
Indicate all activities you plan to attend.
Space is limited, register early!
_______ Thursday
afternoon: Mari-Mann
Herb Company.
12:30 pm to 2:30 pm.
_______ Thursday afternoon:
Rock Springs Environmental Center.
3:00 pm to 5:00 pm
_______ Friday morning:
Birding
at one or two of the Macon County conservation areas. 7:30
to 10 am.
_______ Friday afternoon:
Behind the
Scenes at the Scovill Zoo.
3:00 pm to 5:00 pm. $2.50/Person
_______ Friday afternoon:
Shopping Excursion to downtown Decatur.
3:00 pm to 5:00 pm.
_______ Friday afternoon:
Abraham Lincoln Presidential Museum located in Springfield, IL
(one hour west of Decatur).
________Saturday Afternoon: BioQUEST Workshop 1:30 - 4:30 pm (see fee schedule above)
TOTAL ENCLOSED (Please make checks payable to ACUBE)
___________
Sorry, checks or money orders only.
Special needs (food, facilities, etc.):
Optional: I would like to participate as a _____Mentor
or
_____Mentee.
These participants will meet at the Friday
breakfast.
| Please send registration form and
payment to: |
Dr. Harold Wilkinson |
hwilkinson@mail.millikin.edu
(217) 424-6233 |
ACUBE Local Arrangements Chair
Department of Biology
Millikin University
Decatur, IL 62526 |
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