Individual Participant Registration Form
Please complete a separate form for each participant
Name Title
Organization Organization's FID#
Address City
State Zip/Postal Code
Country Daytime Phone No.
Fax No.   E-Mail Address

Fees: (Registration will be processed when payment is received.)
 - Early Bird Registration and Payment - by July 31, 2012
 - Standard Registration and Payment - after July 31, 2012
 Check Date Attending:  
 Full-Time students only-include photocopy of student ID.
-Includes the Friday Night Deluxe Reception and Saturday's Continental
     Breakfast.
     Does not include conference sessions or other activities. Companion's Name

Facility Tour (space is strictly limited) - Sunday, August 26
     - The Freshwater Institute, Shepherdstown, WV

Hard Copy of Proceedings (A CD-ROM copy is included with your registration fee)
     - Mail to U.S. address or pick up at conference *
Extra Copy of Proceedings  on CD-ROM
     - Mail to U.S. address or pick up at conference *
Copy of Previous Proceedings  on CD-ROM (2004, 2006, 2008, and 2010)
     - Mail to U.S. address or pick up at conference
Copy of Previous Proceedings  on CD-ROM (1996, 1998, 2000, and 2002)
     - Mail to U.S. address or pick up at conference *
     *Purchaser will pay actual shipping charges, and transaction must be completed after the conference.
         Do not enclose money for international shipping requests on this form.

Total Amount USD  
Discount USD (on registering for both events) 
Final Amount USD 
Method of Payment:  
                               
Welcome/About the Conference | Call for Papers/Abstract Submission | Program Schedule
Topics/Highlights | Trade Show | Facility Tours | Location, Travel, and Lodging
Individual Participant Registration | Exhibitor Registration
Sponsors/Sponsorship Opportunities | Other Learning Opportunities
For More Information