Microscopy & Microanalysis -96

sponsored by MSA-MAS-MSC/SMC

ADVANCE Registration Form

Minneapolis, Minnesota

August 11 -15,1996

Use this form to register at reduced rates. Payment can be by check (U.S.funds, payable to "MSA" on a U.S. bank), money order, or credit card (Visa/MasterCard only). With a credit card you can register by phone, 508-563-1155; tollfree, 800-538-3672 or fax, 508-563-1211 or by the Internet (note: this may NOT be a secure method use at your discretion). Or mail the form to Microscopy & Microanalysis '96, 4 Barlows Landing Rd., Suite 8, Pocasset, MA 02559. Do not send payment separately from the form. Purchase orders are not accepted. Payment for more than one registrant can be combined in a single check, but use a separate form for each registrant, including social guests (it may be photocopied). Receipts will be sent promptly.

The rates are valid only for forms received by July 15. It is not enough for the form to have a postmark of that date. The rates after July 15 are indicated on the form. Refund requests will be honored, less a $40 handling fee, only if received in writing by August 9, 1996. MSA's Federal ID and tax- exempt number is 116042-333.

All registrations include admission to scientific sessions, commercial exhibits, and the Sunday evening reception.

Proceedings are included only with Full registrations.

Microscopy & Microanalysis 96

Advanced Registration Form

Name:
Mr. Mrs. Ms. Dr.
Affiliation:
Address1:
Address2:
Address3:
City:
State:Zip:
Country:
Address Location:Office Home
Phone:
Fax:
E-mail address:
Select Payment Method:
Checks must be in US Dollars drawn on a US Bank
Mail to:
MSA Business Office
4 Barlows Landing Road. Suite 8
Pocasset, MA 02559;
Registration fee
(select only one)		 Full -MSA-MAS-MSC/SMC member. $190
(after July 15, $250)

Full -non-member.$275
(after July 15, $325)

Student. $60
(after July 15 $90)
Note: Student Registration is only for
Student Members of a sponsoring
Society Others may register at the
student rate but must includee with this
form a letter from their advisor attesting
to bona fide full-time student status.

Emeritus. $60
(for Emeritus members only)
(after July 15, $90)

Social guest (use separate form for each). $60
(after July 15, $90)

One day. $75.
(after July 15, $75)

Two day. $150.
(after July 15, $150)

Total Registration
HR-FESEM Pre-Meeting WorkshopHRFESEM Pre-Meeting Workshop $10
Short Course fees 96-01 Members $120, others $140
96-02 Members $120, others $140
96-03 Members $60, others $70
96-04 Members $60, others $70
96-05 Members $60, others $70
Short Course Total
(after July 15, $180 for all)

Social Events fees
Please note: All Social Events are non- refundable except if the event is cancelled.
Wednesday River Cruise $35 each
    Number Amount
Gabbert Raptor Center $8 each
    Number Amount
Mayo Clinic Tour $25 each
    Number Amount
Additional Reception tickets
    Number @ $40
    Number @ $25

    Amount


Additional Proceedings 		Number @ $50 Amount

Direct shipping of Proceedings
(to arrive after Meeting) 		each Contiguous U.S. $15, Canada $20.

Total Payment:

 Total

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You May Also Print This Form and Post/Fax the Registration Form to:

Microscopy &Microanalysis '96,
4 Barlows Landing Rd.,
Suite 8,
Pocasset, MA 02559;
Phone: 508-563-1155;
Toll- free: 800- 538-3672;
Fax: 508-563-1211;
Email: BusinessOffice@MSA.Microscopy.Com.