BASICS 1999 Registration Form

Reception and Poster Session: Friday, May 19 (7:30 PM)

Talks: Saturday, May 20 (8 AM) - Sunday, May 21 (12 PM)

Place: Banff Park Lodge, Banff, Alberta, Canada

Name: ____________________________________________________

Affiliation:  ___________________________________________


E-Mail Address:__________________________________________


I WILL PRESENT A POSTER: YES / NO

POSTER AUTHORS: _________________________________________

___________________________________________________________


POSTER TITLE: ___________________________________________

___________________________________________________________
     

Conference Registation fees:

      Faculty            $60.00(Cdn) ________

      Student/Post-doc  $20.00(Cdn) ________

                 Amount Enclosed:    $________

Note: Please send registration fees by April 14, 1999.

Make cheques payable to "BASICS"
Mail the completed form to: