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									                      CONTINUING EDUCATION REGISTRATION
                     Please submit Continuing Education Registration materials and payments by Friday, 20 July 2012. Registrations after Friday, 3 August 2012,
                     must be done in person at the conference. Please Note: Onsite CE registration will be available for Sunday courses/workshops only, and can
                     be purchased on Saturday, 18 August 2012, from 8:00 AM – 5:00 PM at the CE table in the Crowne Plaza Hotel. Student registrations must be
                     accompanied by a student ID. For course descriptions, please visit http://afs2012.org/continuing-education/. AFS reserves the right to cancel
                     any course. A full refund will only be issued on a CE course or workshop cancelled by the instructor. Questions? Contact Kathryn Winkler,
                     kwinkler@fisheries.org.
First name: ______________________________________ MI: _________ Last name: _________________________________________ Suffix: __________________
AFS member # if known (from Fisheries mailing label): __________________
Address: _____________________________________________________________ _____________________________________________________________
City: ______________________________________State/Province: ___________________Country: _______________________Zip/Postal code: ____________________
Phone: _____________________________ Fax: _____________________________Cell: ______________________________

Check if this is a new address for all AFS membership mailings:                                       E-mail address: ______________________________________________

CONTINUING EDUCATION REGISTRATION
   Registration Item                Date              Time            Member             Non-             Student Member               Student Non-                    Amount
                                                                                        Member           (need ID)/Retired            Member(need ID)
 Leadership at All
                                  Sun. 8/19       8 am – noon           FREE              FREE                    FREE                        FREE                 $
 Levels in AFS
 Basic/Inter. GIS                 Sat. 8/18       8 am – 5 pm            $220             $250                     $125                        $155                $
 Advanced GIS                     Sun. 8/19       8 am – 5 pm            $220             $270                     $150                        $180                $
 Intro. to Program R              Sat. 8/18       8 am – 5 pm            $150             $200                     $100                        $130                $
 Intro. to Statistics             Sun. 8/19       8 am – 5 pm            $150             $200                     $100                        $130                $
 Digital Photography              Sun. 8/19       8 am – 5 pm            $100             $150                     $75                         $105                $
 How to Lead an
 Effective Technical              Sun. 8/19       8 am – 5 pm             $75              $100                    $50                          $80                $
 Meeting
 Mapping Aquatic
 Habitat Using Side-              Sun. 8/19       8 am – 5 pm            $150             $200                     $100                        $130                $
 Scan Sonar
 Effective Speaking               Sun. 8/19       8 am – noon             $50              $75                     $25                          $55                $
 Collaborative
                                  Sun. 8/19       1 pm – 5 pm             $50              $75                     $25                          $55                $
 Negotiations
 Engaging the Public              Sat. 8/18       1 pm – 5 pm
 Through Aquatic                    and               and               FREE              FREE                    FREE                        FREE                 $
 Education Events                 Sun. 8/19       1 pm – 4 pm
 Power-Based
 Standardization in               Sun. 8/19       8 am – noon             $50              $75                     $25                          $55                $
 Electrofishing
 VEMCO Acoustic
 Telemetry
                                  Sun. 8/19       1 pm – 5 pm           FREE              FREE                    FREE                        FREE                 $
 Technology
 Workshop
 Sound Metrics ARIS
 Technology                       Sun. 8/19       1 pm – 5 pm           FREE              FREE                    FREE                        FREE                 $
 Workshop
        CE Registration                                                                                                    $
            SUBTOTAL
Register for the Spawning Run @ http://www.afs2012.org/?page_id=367 and CE Courses/Workshops online @ http://www.afs2012.org/?page_id=147

Payment MUST accompany CE registration. ALL FEES MUST BE PAID IN U.S. CURRENCY. Make checks/money orders payable to
"American Fisheries Society". For tax purposes AFS is a Non-Profit 501C3 organization. Checks must be drawn on a U.S. bank.
Total remittance: $ _______________________________
Method of payment:         Check*____           Money Order____ MasterCard____              Visa___       Amex____
Credit Card No.:___________________________________________________ Expiration Date: ____________________ 3 Digit Security Code:__________________

Name on Card (Please Print):________________________________                                          _____     Signature: ______________________________________

Register online at http://www.afs2012.org/?page_id=232 or send forms to: American Fisheries Society, 5410 Grosvenor Lane, Suite 110, Bethesda, MD 20814; fax 301-897-8096
Questions? Contact Kathryn Winkler, kwinkler@fisheries.org. Refund policy: All refunds requests must be made in writing by fax or email by Monday, 23 July 2012. 80% of that
total charge will be refunded, if request is submitted before this deadline. No refunds or cancellations will be made after Monday, 23 July 2012. Full refund will be issued only in
case of course/workshop cancellation by the instructor. *A $35.00 service charge will be added to all returned checks.


Special needs? Please list any special transportation, dietary, or hearing impaired needs we should be aware of:                                                       ___________

            ________________                                   ________________                                   ________________

								
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