This is the early registration form for ANAEROBE 2006, to be held July 25-28, 2006 in Boise, ID USA. Early registration is strongly advised as attendance will be limited. Confirmations will be sent to you via e-mail and in your delegate packet preceding the Congress. REGISTRANT Name: Degrees: MAILING ADDRESS CONTACT INFORMATION Tel: Fax: Email: REGISTRATION FEES On-line registration is available with credit card payment. Payment with checks and for students must be done by mail. No advance registrations will be accepted after July 14, 2004 Congress Registration includes Delegate packet, Abstract Book, admission to Congress sessions and poster areas, Continental breakfast, coffee breaks, Wednesday evening reception. Full registration also includes the Congress Banquet. Additional dinner tickets may be purchased separately. Thru June 2, 2006 After June 2, 2006 ASA Members Full Package (including Banquet) Meeting Attendance Only Non-Members Full Package (including Banquet) Meeting Attendance Only Single Day Days: Wednesday Thusday Friday Student (send a copy of current ID) Meeting Attendance Only Number of Extra Banquet Tickets $230 $170 $300 $240 $80 per day $80 $60 each $270$210 $340 $280 $100 per day $90 $70 each Continuing Education Units: Category I CME - 15 hours -- $15 (Pending Approval) Laboratory Technicians - 15 hours -- No Charge None Pre- & Post-Congress Activities: Anaerobic Identification & Susceptibility Workshop -- $65 ($85 after June 2) Tour of World Center of Birds of Prey -- $20 per person (July 25) River Raft Trip & Dinner -- $85 per person (July 28)
On-line registration is available with credit card payment. Payment with checks and for students must be done by mail. No advance registrations will be accepted after July 14, 2004 Congress Registration includes Delegate packet, Abstract Book, admission to Congress sessions and poster areas, Continental breakfast, coffee breaks, Wednesday evening reception. Full registration also includes the Congress Banquet. Additional dinner tickets may be purchased separately.