Rhode Island Society for Histotechnology  
 

 

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Registration Form

COMPLETE FORM ON-LINE AND SUBMIT (* - required)
*First Name: *Last Name:
Select All Affiliations: NSH CSH MaSH MeSH NYSH RISH VT/NH Student
*Street Address:
*Town: *State: *Zip Code:
Employer:
Work Phone: Home Phone:
*Email address:
REGISTRATION FEES (*Select Option)
OPTION 1.  Full Conference:  Includes conference program with abstracts; plus Friday & Saturday Lectures/Workshop; Admission to exhibition hall; Continental breakfasts; coffee breaks; lunch Friday & Saturday; and Wine & Cheese Reception.  PLEASE SELECT DAILY SESSIONS BELOW UNDER OPTION 2 & 3.
MEMBER $225.00  
STATE PRESIDENT
NONMEMBER $275.00
STUDENT or RETIREE $75.00
         
OPTION 2.  Friday Only:  Includes conference program & abstracts; plus Friday Lectures; Admission to exhibition hall; Continental breakfast; Lunch; Coffee breaks; & Wine/Cheese.
Morning Session (select one): Room 1 Room 2 Room 3
Afternoon Session (select one): Room 1 Room 2 Room 3
         
MEMBER $125.00  
NONMEMBER $155.00  
STUDENT or RETIREE $40.00  
WINE & CHEESE GUEST $20.00/ea (# of guests)
GAS LAMP GRILLE BUFFET $33.00/ea (# of dinners)
 
OPTION 3.  Saturday Only:  Includes conference program & abstracts; plus Saturday Lectures or Workshop; Admission to exhibition hall; Continental breakfast; Lunch; & Coffee breaks.
         
Morning Session (select one): Room 1 Room 2  
Afternoon Session (select one): Room 1 Room 2
All Day Workshop:
(limited to 50 attendees)		 Room 3
 
MEMBER $100.00  
NONMEMBER $125.00  
STUDENT or RETIREE $30.00  
 
OPTION 4.  VENDOR EXHIBITORS:  Vendor exhibitors registered for a display table at this meeting please complete the top of this form and select this option for your Conference Passes.  Vendors may send up to 2 persons to this meeting with the paid vendor table.

LATE FEE (after March 27, 2009):  $25.00

TOTAL DUE WILL BE CALCULATED WHEN YOU CLICK SUBMIT

Daily session information located on PROGRAM page. Complete form on-line and submit.

If you would like to arrange on-line payment by credit card, please contact Dodi Borsay Horowitz, webmaster@RIHistology.org, 401-782-3042.

Make registration checks made payable to RISH/Region I Conference and mail to be received by April 11th to conference treasurer:

Gail Bouliane
396 Knollwood Drive
Woonsocket, RI 02895
Email address: treasurerR1@RIhistology.org
Phone Number: 401-767-2035

Cancellation Deadline: Before March 15, 2009 to receive refund minus a $35 cancellation fee.

Problems with form:  Contact Dodi Borsay Horowitz, webmaster@RIHistology.org, 401-782-3042.

 

  

© 2009 Rhode Island Society for Histotechnology
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Please direct any suggestions or comments to webmaster, Dodi Borsay Horowitz, at webmaster@RIhistology.org