ANAS Pre Registration Form

ARIZONA-NEVADA ACADEMY OF SCIENCE 51^st ANNUAL MEETING NORTHERN ARIZONA UNIVERSITY OF ARIZONA, March 31, 2007 PREREGISTRATION PRESENTING AUTHORS should not use this form: register using the ABSTRACT FORM http://www.geo.arizona.edu/anas/abstform.html DEADLINE: March 1, 2007 Please Check: Member _____ Nonmember_____ Name: __________________________________________________________________________ Address: ________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Telephone (____) _____________ E-mail ______________________________________________ Please check the appropriate items below: (preregistration includes lunch)
	____ Student Member	$15.00
	____ Student Nonmember	$20.00
	____ Member ($35 at Meeting, no lunch)	$35.00
	____ Nonmember ($45 at Meeting, no lunch)	$45.00
	____ Dinner Honoring Founding Members	$15.00
	(Friday April 7, 5:00pm UA Student Union Rincon Rm)
	Total	________
Please note: There will be NO lunch tickets available for purchase on-site. Please preregister to insure your space at the luncheon and at the annual business meeting. Nonmembers please complete the following:
	AAAS Member: Yes _____ No _____ Section Affiliation: circle as many as apply and mark primary interest with "*" Anthropology Biology Chemistry Conservation Geography Geology Hydrology Math Psychology Science Education
Make Checks Payable to: Arizona-Nevada Academy of Science
Return to:	Betsy Cooper Department of Biology Glendale Community College 6000 W. Olive Avenue Glendale, AZ 85302 623-845-3613 b.cooper@gcmail.maricopa.edu
Last Modified 12/20/06 by OKD

PREREGISTRATION