24^th Eastern Regional Photosynthesis Conference-Registration Form

Name:

Male Female

Address:

Telephone Number:

Fax Number:

Email Address:

Check one:

Student Graduate Student Postdoctoral Faculty/P.I

Room Type:

Single Room Double Room 
 (Roommate for double room:  

The rates indicated below are in $US and cover accommodations at the Swope Center for the nights of Friday (20 April 2007) and Saturday (21 April 2007) and all meals from Friday evening's dinner through Sunday lunch. Registration fees cover general conference expenses, refreshments, and the cost to prepare the abstract book.

Room and board (choose one)
Board and Double Room (per person), $220.00 (For students ONLY, $180)	$
Board and Single Room, $295.00	$
Board Only, $160.00	$
a la carte Meals also available (veggie options included in all meals) extra
Registration Fees
Participant, $75.00	$
Accompanying person(s), each @ $30.00	$
Technology fee for participants not staying in MBL housing, $15.00	$
Total Submitted:	$

Please make checks payable to: ERPC or Eastern Regional Photosynthesis Conference
Mail this form and check to:
Wade Johnson
Susquehanna University

Department of Chemistry

514 University Ave

Selinsgrove, PA 17870

email: johnsonw@susqu.edu