ACUBE 46th Annual Meeting
Association of College and University Biology Educators
Columbia College Chicago
Chicago, Illinois
Thursday, September 12 Saturday, September 14, 2002
Conference Registration Form
Name: First: ________ ___ Last:
Official Title:
Affiliation:
Mailing Address:
City: __________________State: ______ Zip
Home Phone: _______________________ Home E-Mail: _______________________
Work Phone: _______________________ Work E-Mail: _______________________
Will you be presenting at this conference: Yes / Attending only
Registration Fees* Field Trips:
Participant ACUBE member: . . . . . . . . . . . . . . . . . . . $ 95.00 $ ______ * Mazon Creek: $40.00 $
Participant non-ACUBE member: . . . . . . . . . . . . . . . $ 125.00 $ ______ * Shedd Aquarium: $20.00 $
Graduate Student: . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 40.00 $ ______
Banquet/lecture only: . . . . . . . . . . . . . . . . . . . . . . . . . $ 50.00 $ ______
Guest of member Banquet/lecture only . . . . . . . . . . . $ 35.00 $ ______
Guest of member all meals . . . . . . . . . . . . . . . . . . . . . $ 75.00 $ ______
Total (General Registration + Field Trips): $_______
* Registration includes Thursday evening reception, Friday breakfast, lunch and banquet/lecture, Saturday breakfast and lunch. Vegetarian option will be available for all meals.
Conference Registration Payment:
Check: __ Money Order: __ Credit Card: __ Visa: __ Master Card: __ American Express: __ Discover: __
_____________________ _______________ _____________
Name as it appears on the card Card Number Expiration Date
Signature as appears on the card: ___________________________________
Please send this registration form and a check, money order payable to Columbia College Chicago, ACUBE Conference to: 2002 ACUBE Conference; C/O Dr. A. Cherif or Dr. G. Adams; Department of Science & Mathematics; Columbia College Chicago; 600 S. Michigan Avenue; Chicago, IL 60605
For More Conference Information Please Communicate With Either:
Robert Wallace at : (920) 748-8760 Fax. (920) 748-7243 E-mail: WallaceR@Ripon.edu
Abour H. Cherif at: (312) 344-7285 Fax (312) 344-8075 E-Mail: acherif@popmail.colum.edu
Gerald E. Adams at: (312) 344-7540 Fax (312) 344-8075 E-Mail: gadams@popmail.colum.edu
Malcolm P. Levin at: (217) 206-7875 Fax( 217) 206-7807 E-Mail: Levin.Malcolm@uis.edu