BLE = PROFI ATTENDEE REGISTRATION FORM Return address for payments in USD: I NA TA AQUACULTURE 2010 TA AQUACULTURE 2010 Conference Manager BL SUS P.O. Box 2302 E Valley Center, CA 92082 USA AQ Tel: +1 760 751 5005 U 0 10 March 1-5, 2010 • San Diego, California Fax: +1 760 751 5003 AC U LT U R E 2 Email: email@example.com online registration is preferred at www.was.org or fax or mail both sides with payment. use one form per person. PLEASE PRINT CLEARLY OR TYPE naMe baDge inForMaTion: (As you want your name badge to read – No titles, please) First Name SURNAME (FAMILY NAME) Company / Institution (Limited to 40 Letters & Spaces) Country Mailing inForMaTion: Email Address City State / Prov Postal Code Country Tel Fax Title: (circle one) Dr. Mr. Ms. Mrs. (Include country and area code) (Include country and area code) regiSTraTion FeeS: In order to receive the discount rates as listed below, this form and payment must be received by the date listed. See 1st announcement for what is included in registration fees. TYPE OF REGISTRATION Register by Register by Register after * To qualify for Member Check the appropriate boxes January 25, 2010 February 12, 2010 February 12, 2010 Rate you must complete the Association aSSociaTion MeMber raTe* US$ 395 US$ 495 US$ 595 Memberships section STuDenT MeMber raTe* on the reverse side. Include copy of Student I.D. US$ 195 US$ 195 US$ 255 non-Member rate US$ 490 US$ 590 US$ 690 Trade Show is included Student non-Member rate US$ 250 in the Full Conference US$ 250 US$ 315 Include copy of Student I.D. Registration Rate. you can join waS on the reverse side and use the Member rate. ToTal regiSTraTion Fee Spouse rate US$ 295 US$ 390 US$ 455 Name uS$ TRADE SHOW PASS – Good for 3 days admission to exhibits only – March 2-4 (Trade show pass is included with the Full conference registration) US$ 50 ToTal TraDe Show PaSS US$ INDUSTRY TOURS – Tour #1 US$ 75 Tour #4 US$ 75 Tour #2 US$ 120 Tour #5 US$ 50 ToTal TourS Due US$ MEMBERSHIP DUES – Enter amount from Membership Application on other side if applicable. ToTal MeMberShiP DueS US$ Do not mail registration after Feb. 1, 2010 or fax after Feb. 24, 2010. After those dates, bring this form with you to register at the show. ➜ ToTal aMounT uS$ Registration Confirmation and Receipt will be emailed after processing. CANCELLATION POLICY: Cancellation of registration must be received - in writing - no later than February 20, 2010. Refunds for registration fees will be subject to a 20% handling fee. Refunds are processed after the conference. No refund will be made for cancellations received after February 20, 2010 or for “no shows”. After February 20, 2010, no refunds will be made for professional or personal emergencies, flight cancellations, denied visa, weather related cancellation or other travel emergencies. Fees for memberships are non-refundable. PayMenT MeThoD: all fees must be paid to the order of aquaculTure 2010. Check # Visa Mastercard American Express Card # Expiration Date Name on Card Signature Date For bank transfer details, contact us. REGISTRATION FORM - SIDE 2 TA I NA BLE = PROFI TA BL SUS E Name AQ U AC U LT U R E 2 0 10 ASSOcIATION MEMBERSHIPS: Please check all boxes for associations for which you are a current member. Membership in any of those associations qualifies you for the Member Rate* on the Registration Fees. You can join an association at any time before registering to qualify for the Member Rate. ❑ American Tilapia Association ❑ Fish Culture Section - AFS ❑ Sociedad Brasiliera de Acuicultura ❑ American Veterinary Medical Association ❑ Global Aquaculture Alliance ❑ Society of Aquaculture Professionals ❑ Aquacultural Engineering Society ❑ Indonesian Aquaculture Society ❑ South African Aquaculture Society ❑ Aquaculture Association of Canada ❑ International Association of Aquaculture ❑ Spanish Aquaculture Association ❑ Aquaculture Without Frontiers Economics and Management ❑ Striped Bass Growers Association ❑ Asian Fisheries Society ❑ Korean Aquaculture Society ❑ US Marine Shrimp Farming Association ❑ California Aquaculture Association ❑ Latin American & Caribbean Chapter WAS ❑ US Chapter of WAS (USAS) ❑ Catfish Farmers of America ❑ Malaysian Fisheries Society ❑ US Trout Farmers Association ❑ China Society of Fisheries ❑ National Aquaculture Association ❑ World Aquaculture Society ❑ Egyptian Aquaculture Society ❑ National Aquaculture Council ❑ World Aquatic Veternary Medical Association ❑ European Aquaculture Society ❑ National Shellfisheries Association ❑ Zebrafish Husbandry Association MEMBERSHIP APPLIcATIONS ❑ NEW APPLICATION ❑ RENEWAL NATIONAL SHELLFISHERIES ASSOcIATION For details on the different types of memberships and options please call the NSA office at: Web: www.shellfish.org MEMBERSHIP cATEGORY: (indicate only one) ________________________________________________ ❑ Regular (USD 85/yr) ❑ Student (USD 45/yr) Signature of Professor or copy of Student ID required Total amount for nSa Membership uSD_______________ Includes subscription to the Journal of Shellfish Research Please enter this amount under “Membership Dues” section on opposite side of this form. FISH cULTURE SEcTION OF AMERIcAN FISHERIES SOcIETY ❑ FCS Membership for Current AFS members $2.00 ❑ Affiliate FCS membership for non-AFS members $12.00 Send Membership dues to: Donna Muhm 122 252nd Avenue • Spirit Lake, IA 51360 Ph.: (712) 336-1520 • Fax: (712) 336-1075 • Email: firstname.lastname@example.org WORLD AQUAcULTURE SOcIETY (WAS) APPLIcATION www.was.org For details on the different types of memberships and options, please contact the WAS home office at Tel: +1-225-578-3137 Fax: +1-225-578-3493 Email: email@example.com MEMBERSHIP cATEGORY: (indicate only one) cHAPTER OPTIONS: ❑ Individual (Electronic JWAS) (USD 65/yr) Applies to an individual only (Must have active membership in one of the categories at left) ❑ Individual (Printed JWAS) (USD 85/yr) Applies to an individual only Please mark the Chapter you choose that is ❑ Student (Electronic JWAS) (USD 45/yr) (Copy of Student ID or Signature of Professor required) included in your dues above. You can join more ❑ Student (Printed JWAS) (USD 65/yr) (Copy of Student ID or Signature of Professor required) chapters by adding USD 5 per extra chapter. If you mark none, you can deduct USD 5. ❑ Sustaining (Electronic JWAS) (USD 105/yr) Applies to any one individual from a company ❑ Sustaining (Printed JWAS) (USD 125/yr) Applies to any one individual from a company ❑ Asian Pacific (USD 5) ❑ Corporate (Electronic JWAS) (USD 255/yr) Allows all employees of one company to attend meeting at Member Rate ❑ Japan (USD 5) ❑ Corporate (Printed JWAS) (USD 275/yr) Allows all employees of one company to attend meeting at Member Rate ❑ Korea (USD 5) ❑ Lifetime (Electronic JWAS only) (USD 1005/yr) Applies to an individual only ❑ Latin American/Carribean (USD 5) ❑ E membership (USD 15/yr) Full access to the WAS website and Member's Area. ❑ United States (USAS) (USD 5) Printed publicationsnot included. Cannot have been a regular member in the last five years. ❑ None Total amount for waS Membership uSD_______________ Fees for memberships are non-refundable. Please enter this amount under “Membership Dues” section on opposite side of this form. NATIONAL AQUAcULTURE ASSOcIATION (NAA) For details on the different types of memberships and options, please contact the NAA home office at: Tel: +1-870-850-7900 Fax: +1-870.850.7902 Email: firstname.lastname@example.org Web: www.thenaa.net For membership in other associations, please contact them directly. If you need a phone number, contact the Conference Manager (+1-760-751-5005).
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