Please provide your Name and Affiliation as you would like them to appear on your name badge.

Name:

Affiliation:

Mailing Address:

Phone:

Fax:

Email:
 

Registration Fees
Status	Before April 1, 1999	After April 1, 1999
Regular Non-Student Member:	195.00	215.00
Student or Retired Member:	130.00	150.00
Regular Non-Student Non-Member:	210.00	240.00
Student or Retired Non-Member:	145.00	165.00
Extra Banquet Ticket:	50.00	50.00
On-Site Single Day Registration		65.00
All fees are in U.S. dollars.

 

Registration fees include the reception, annual banquet (except for on-site single day registration), coffee breaks, and other meeting expenses. For members not current on dues: Registration fees must be paid at the Non-Member rate. Please note: To be eligible for the non-member student rate, an individual must provide documentation of their student status (e.g., copy of student ID or letter from the department chairperson).

METHOD OF PAYMENT U.S.$ ____________ Registration fee

U.S.$ ____________ Additional banquet ticket

U.S.$ ____________ Total amount enclosed

Check Payment: Make checks payable in U.S. dollars to: Behavior Genetics Association

Credit Card Payment: ______ Mastercard ______ Visa (no other cards will be accepted)

Card Number:__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Expiration Date:

Name (as embossed on card):

Signature:

Please send the Registration Form with your check in U.S. dollars or credit card information to:

Dr. Matt McGue
Department of Psychology, Elliott Hall
University of Minnesota
75 East River Road
Minneapolis, MN 55455-0344

Tel:  (612) 625 8305
Fax:  (612) 626 2079
Email:  mmcgue@tfs.psych.umn.edu

To cancel an advance registration, registrants must send a written request to Dr. McGue to be received no later than June 1, 1999. A $75.00 processing fee to cancel the registration will be deducted.