ARIZONA-NEVADA ACADEMY OF SCIENCE ANNUAL MEETING *PREREGISTRATION*

PRESENTING AUTHORS should not use this form: register using the ABSTRACT FORM
		http://www.geo.arizona.edu/anas/abstform.txt

Please Fill Out:     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	 
 
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.

ALL PREREGISTRANTS MUST INCLUDE PAYMENT WITH THIS FORM  
Make Checks Payable to: Arizona-Nevada Academy of Science 

Return to: 
		Florence Slater
		Department of Biology
		Glendale Community College 
		6000 W. Olive Avenue
		Glendale, AZ 85302

Nonmembers please complete the following: 
Section Affiliation: circle as many as apply and mark primary interest with "*" 
	     Anthropology       Biology          Chemistry 
	     Conservation       Geography        Geology 
	     Hydrology          Mathematics      Psychology
		 Science Education