23rd Annual Biotechnology Symposium Registration Form

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23rd Annual Biotechnology Symposium Registration Form May 6-9, 2001 Beaver Run Resort Breckenridge, Colorado, USA How to Register DOE and national laboratory employees and DOE contractors need to register using the printable form (MS Word 40 KB). If you are paying by check, please use the printable form (MS Word 40 KB). To register online, go to Step 1 in the next section. Register Online Step 1. Complete this online form. Please Note: If you have selected something that you do not want, please click on the Clear Form button at the bottom of the screen.
Name:
Affiliation:
Address: City, State/Providence: Country: Zip:
Phone:
Fax:
E-mail:
Will you be submitting a manuscript?	YesNo
Will you be doing a poster?	YesNo
If yes, how many?
Dates of Attendance—Select arrival and departure dates. Select "Other" if longer than dates shown (For room block purposes only). Please call 1-800-525-2253 to make reservations at Beaver Run Resort. Please book your room before April 13 to get the discounted rate. Check in: Check out:

Meals Attendance—Please select the meals you plan on attending during the conference. (For meal planning purposes only. Registration fee covers all meals.)

Select all that apply:

Sun May 6
Reception
Mon May 7
Continental Breakfast
Lunch
Poster Reception Tue May 8
Continental Breakfast Wed May 9
Continental Breakfast
Banquet

Special Meal Needs: (select all that apply)
Vegetarian

Kosher

Registration Fee $425 after March 30— $475 $

One Day Registration
I will attend the following day: $175 after March 30—$225 $

Student Registration $175 after March 30—$225 $

Charges Required for Guests Only

Guest Name   All Meals $175
Banquet Only $45 $

Guest Name   All Meals $175
Banquet Only $45 $

Guest Name   All Meals $175
Banquet Only $45 $

Total Registration Fee: Total (US)
$

Step 2. Select method of payment.
Payment Options:
Visa and Mastercard, travelers checks, personal or company check made out to National Renewable Energy Laboratory (NREL). NO cash. Checks must be drawn against a U.S. bank, otherwise, include an additional $50 to cover processing. Please use the printable form (MS Word 40 KB) if sending a check.
Refund/Cancellation: We understand that sometimes plans change. All refund requests submitted in writing and postmarked by March 30, 2001 will be issued in full. Substitutions may be made at any time.

Payment
Please note that if you are entering your credit card information online, the online transaction is NOT secure.

Name on Credit Card:

Account Number:
Do not use any spaces—use dashes instead

Type of Payment: Visa Mastercard
Note: Please use the printable form (MS Word 40 KB) if sending check.

Expiration Date:

Step 3. Complete registration by reviewing your information and click the send button below. Note: Please print this form for your records.

For more information:
National Renewable Energy Laboratory
c/o Conferences & Visual Services
Attention: Megan Maguire
1617 Cole Boulevard, MS 1623
Golden, Colorado 80401-3393
Tel: (303) 275-4321
Fax: (303) 275-4320
Email: megan_maguire@nrel.gov

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