Registration Form

CalCOFI Conference 2006

*Required fields

Name
Mr.    Mrs.    Ms.    Dr.    Other (check box for other)
*First:    Mi:    *Last:
Organization
*Institution:
Department:
Address
*Line 1:
Line 2:
*City:    *State/Province:
*Zip/Postal:
*Country:
Contact
Work Phone:
*Email:
Other
Dietary Restrictions:
*Student? Yes    No
*Symposium Speaker? Yes    No
*Contributed Speaker? Yes    No
*Submitting Poster? Yes    No
Preliminary Title of Poster or Talk:   
Registration
Registration Fee: The Conference Registrar must receive the $160.00 registration fee by 3 October, 2006.
After 15 November, 2006, the registration fee will be $180.00.
*Select Payment Option:
Credit Card or PayPal Account
You will be prompted at the end of the registration for this information.
Please note: If you do not receive an email from PayPal confirming your payment, check your spam filters and/or junk mail folder.
Agency Purchase Order     
For individual participants, please specify agency:  
For those submitting the purchase order, please fax or email to:
Fax: (831) 649-2917, Attn: Maura Leos
Email: mleos@dfg.ca.gov
UCSD Index # (Scripps participants only)     Index #:  
Personal U.S. Check or Money Order payable to "CalCOFI"
Mail to:
Maura Leos
CalCOFI Registrar
Cal Dept. Fish and Game
20 Lower Ragsdale Dr., Suite #100
Monterey, CA 93940
Invited Symposium Speaker (registration fee waived)
Graduate Students
*** Please Note: CalCOFI Annual Report ***
Since the CalCOFI annual reports are online some members have requested to be dropped from this mailing list. Please help us update our records by indicating if you still wish future volumes of the CalCOFI annual report to be mailed to you.
Would you like CalCOFI Annual Reports mailed to you in the future?    Yes    No
Do you wish to be put on the CalCOFI communications list?    Yes    No
Volume 47 may be available at the conference.
Reservations at Asilomar Conference Center
Do you wish lodging at the Asilomar Conference Center?
Asilomar room reservations are made by the conference coordinator. If you wish lodging at the Asilomar Conference Center please complete the following information.
Any format
Any format
Any format
Any format
Room Type:
Smoking?:
The conference coordinator (Maura Leos, mleos@dfg.ca.gov) will be contacting you regarding your room confirmation and payment options.
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