BASICS 1999 Registration Form

Reception and Poster Session: Friday, May 14 (7:30 PM)

Talks: Saturday, May 15 (8 AM) - Sunday, May 16 (12 PM)

Place: Banff Park Lodge, Banff, Alberta, Canada

Name: ____________________________________________________

Full mailing address: ____________________________________

                      ____________________________________

                      ____________________________________

E-Mail Address:_____________@_____________________________

Business phone:(___________)  Residence phone:(___________)

I WILL PRESENT A POSTER: YES / NO

POSTER TITLE: ____________________________________

Conference Registation fees:

Conference Registration Fee (Faculty) $60.00(Cdn) ________

Conference Reg Fee (Student/Post-doc) $20.00(Cdn) ________

                             Amount Enclosed:    $________

Note: Please send registration fees by April 5, 1999.

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