REGISTRATION FORM
ASAS Annual Meeting - Indianapolis, IN
July 21-23, 1999

 

(Print/Type) Complete One Form Per Person (Including Spouses & Guests)

Name __________________________Preferred first name on badge __________________

Company________________________ E-mail Address ____________________________

Street Address ____________________________________________________________

City ___________________ State/Province ______ Zip Code _________ Country________

Phone _______________________  Fax _______________________

  (Prices listed are per person and in U.S. Funds)

Registration Fees Quantity Total
Before July 1 After July 1
ASAS Member _________ $200.00 $250.00 _________
Nonmember _________ $325.00 $395.00 _________
Retiree   _________ $ 35.00 $ 35.00 _________
Post Doc  _________ 0 0 _________
Post Doc Nonmember   _________ $ 45.00 $ 45.00 _________
Graduate Student   _________ 0 0 _________
Undergraduate Student  _________ 0 0 _________
Student Nonmember   _________ $ 20.00 $ 20.00 _________
Spouse/Guest  _________ $ 15.00 $ 15.00 _________

(Name __________________)
New! Tech Forum ‘99
Wednesday 1:00 p.m - Thursday 12:00 noon ______ $125.00 $125.00 _________
(Registrants can attend any sessions during this period)

PROGRAM AND SOCIAL EVENTS
TUESDAY, JULY 20
Biennial Symposium on Animal Reproduction
ASAS Member   _________ $ 60.00 $100.00 _________
Nonmember   _________ $ 80.00 $120.00 _________
Student/Post Doc  _________ $ 25.00 $ 40.00 _________
Retiree/Fellow   _________ $ 25.00 $ 40.00 _________
Golf Tournament _________ $ 50.00 _________

Handicap _________ or average score for 18 holes _________
Tour A: Elanco Animal Health _________ $ 10.00 _________
Tour B: United Feeds _________ $ 10.00 _________
Tour C: Conner Prairie _________ $ 35.00 _________
Opening Reception _________ N/C _________
WEDNESDAY, JULY 21
Fun Run _________ $ 15.00 _________
Illinois Breakfast _________ $ 14.00 _________
Kentucky Breakfast _________ $ 8.00 _________
Oklahoma State Breakfast _________ $ 11.00 _________
Lunch in the Exhibit Hall _________ $ 12.00 _________
National Block & Bridle Lunch  _________ $ 18.00 _________
Tour D: Historic Homes _________ $ 40.00 _________
Tour E: Nashville, IN _________ $ 35.00 _________
Tour F: Women’s Health Seminar
Eli Lilly & Co. _________ $ 10.00 _________
Iowa State University Social _________ N/C _________
Student Mixer _________ $ 3.00 _________
THURSDAY, JULY 22
Penn State Breakfast _________ $ 13.00 _________
Purdue Breakfast _________ $ 11.00 _________
Extension Luncheon _________ $ 21.00 _________
Minority & Women’s Issues Lunch _________ $ 18.00 _________
Lunch in the Exhibit Hall _________ $ 12.00 _________
Tour G: Eli Lilly & Company _________ $ 10.00 _________
International Reception _________ N/C _________
ASAS Awards Program _________ N/C _________
ASAS Ice Cream Social _________ N/C _________
Penn State Social _________ N/C _________
FRIDAY, JULY 23
Teaching Workshop _________ $ 35.00 _________
(Attendance limited to 40)
 
 
Indianapolis City·Smart Guidebook _________ $ 9.00 _________
ASAS Denim Shirt _________ $ 22.00 _________
M L XL XXL
JAS CD-ROM
Member _________ $ 25.00 _________
Nonmember _________ $ 90.00 _________
TOTAL FEES: _________
 
 

Please charge my credit card:

Visa # ________________________________________


MasterCard # __________________________________


American Express # _____________________________


Total to be charged ____________


Expiration Date _______________ Signature ______________________


Complete and mail this form with your check or credit card information the enclosed envelope before July 1, 1999 to: ASAS, 1111 N.Dunlap Avenue, Savoy, IL 61874 Make CHECKS PAYABLE to: ASAS ANNUAL MEETING. All funds must be in US dollars drawn on a US bank.