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20th ENZYME MECHANISMS

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					                         21st ENZYME MECHANISMS
                      CONFERENCE REGISTRATION FORM

The conference registration fee for all of the conference participants is $385. The registration fee
will cover the conference program, the opening reception, continental breakfasts for three
mornings, coffee breaks, poster sessions, lunch on January 6, and the closing banquet. The fee
for guests of participants at all of the nonscientific functions is $250 for adults ($75 for children).

The registration deadline is November 1, 2008. The registration process is not complete until
payment is received. Once registered, you will receive a confirmation email. Registration
checks should be made payable to “Enzyme Mechanisms Conference.” The Taxpayer ID
number is 26-0593631.

                                      Mail check and registration form to:
                                               Dr. Karen Allen
                                           Department of Chemistry
                                              Boston University
                                         590 Commonwealth Avenue
                                              Boston, MA 02215

     Name: _______________________________________________________________________
     Organization: _________________________________________________________________
     Address: _____________________________________________________________________
     Address: _____________________________________________________________________
     City: ______________________________________________ State/Province: ___________
     ZIP/Postal Code: _________________________ Country: ____________________________
     Phone number: ___________________________ Fax number: _________________________
     Email: __________________________________________________________________
     I will present a poster:                                                  YES                   NO
     (Please see the Poster section of the website for details on how to submit a poster: Deadline November 1, 2008)
     I wish to be considered for a poster talk:                                  YES                   NO
     I wish to be considered for the Founder’s Travel Award:                       YES                  NO
     (Please see the Travel Awards section of the website for details on how to apply: Deadline October 1, 2008)
     Number of guests who will attend the non-scientific functions: ________________________
     Name(s) of Guest(s) (children/adult) ______________________________________________
     My check for $____________ made payable to “Enzyme Mechanisms Conference” is
     included with this form.


                       All refund requests must be received by November 15, 2008

    For conference updates and information visit our website: http://enzymemechanismsconference.org/

				
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