WNAR-IMS 2008 Meeting

University of California, Davis

June 22-25, 2008

REGISTRATION FORM

Three Ways to Register
Register On-Line
http://conferences.ucdavis.edu/wnar-ims2008
Credit Card &UC Recharges only.
Register by FAX
Complete this form and FAX to (530) 752-5791
Credit Card Payments Only
Register by Mail
Mail completed form & payment to:
Conference & Event Services
Attn: WNAR-IMS
University of California, Davis
One Shields Avenue
442 Memorial Union
Davis, CA 95616
CANCELLATION POLICY:
Cancellations must be received in writing no later than Friday, June 13, 2008. Cancellations received prior to this date are usually processed after the conclusion of the conference and will be refunded minus a $40 administrative processing fee.
Cancellations received after Friday, June 13, 2008 will not be refunded.
Mail/Fax Cancellations to:
Conference & Event Services
Attn: WNAR-IMS
University of California, Davis
One Shields Avenue
442 Memorial Union
Davis, CA 95616
Phone: (530) 752-0198
Fax: (530) 752-5791
Registration Confirmation: Once your registration form has been processed, you will receive confirmation by email. This confirmation will include an official University receipt (receipts will not be handed out on-site at the conference). If you have not received an email confirmation ten business days after submitting your registration form, please contact Conference & Event Services at (530)752-0198 or to inquire on whether your registration form was received. / A separate form is required for each registrant.
Name and affiliation will appear on name badge. Please print legibly or type.
Name:
Last / First / MI
Institution/Affiliation:
Address:
Street Address
City / State / Zip Code / Country
Phone: / () / Fax: / ()
Please include area, city and country codes / Please include area, city and country codes
Email:
Required for confirmation purposes, participation roster and receipt.
Registration Information
Please register by Friday, June 13, 2008. Names will be verified for all complimentary fees.
Registration Fees are per person / By April 15 / After April 15 / Totals
Members: WNAR/IMS/ENAR/IBS / $180 / $200 / $
Non-members / $200 / $220 / $
Full-time Students / $50 / $70 / $
Student Paper Competition Participants / $N/A / $N/A / $
Complimentary Conference Registration / $N/A / $N/A / $
Optional: WNAR Short Course (Sunday, June 22)
Members: WNAR/IMS/ENAR/IBS / $160 / $180 / $
Non-members / $180 / $200 / $
Full-time Students / $50 / $70 / $
Banquet (Tuesday, June 24)
Regular Ticket Total #______/ x $50 / $
Student Ticket Total #______/ x $25 / $
Please select an entrée :
Tri-Tip Portobello Pistachio Chicken Vegetarian
If bringing a guest please select their meal also. / Total: / $
Conference Questions
Which membership to you belong to? WNAR IMS ENAR IBS
Please list any special dietary needs below (ex: food allergies, vegetarian, etc).
Payment Information

We do not accept Purchase Orders, nor do we issue invoices for conference registrations.

Enclosed is my check/money order made payable to "UC Regents"

UC Davis or UC Campus Recharge Account
(Please include full DaFIS Acct, Sub Acct., Dept, Acct. Manager and phone number)
Please charge my: / VISA / MasterCard / American Express / Discover
Credit Card Number / Expiration Date
Name of Card Holder (as it appears on card) / Signature of Card Holder