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Annual Meeting of the GTA

May 11-12, 2017
John M. Clayton Hall Conference Center
University of Delaware
Newark, DE

Special Event: Workshop Preceding the Main Meeting

Mode of Action Approaches that Identify Genotoxic Mechanisms in Mammalian Cell Systems
Wednesday, May 10, 2017 (12:30 - 6:30 PM)

Full registration includes the workshop (held on Wednesday, May 10th) and meals (continental breakfast, lunch, dinner on May 11th, plus snacks & beverages for coffee breaks). Registration does not include Membership dues.

We encourage you to register and submit your registration fee on-line. However, if you prefer to mail in your Registration form and fee, please print out the Mail-In Registration Form and mail it along with a check for the appropriate amount to:

               Leon Stankowski, Treasurer
               Genetic Toxicology Association
               1712 DaVinci Lane
               Clarks Summit, PA 18411
               

** There will be a limited number of registration spaces available on-site**
** We cannot guarantee that we can provide meals to all on-site registrants**

To register on-line for the 2017 annual meeting, please complete the following form and click Next to continue to the payment page:

Contact Information
   
First Name:    MI:   Last Name:
Degree:
Affiliation:
Address1:
Address2:
City:
State:
Zip:
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E-mail:
Phone:
Fax:
Has this information changed from your Membership information? Yes       No
 
Full Registration Fees (meals included):
 
Student Registration - $50
 
Member Registration - $450
 
Non-Member Registration - $500
     
Single Day Registration Fees:
 
Student Registration - $25
 
Member Registration - $250
 
Non-Member Registration - $300
  Please indicate which day you will attend:
  I will attend Thursday, May 11 only
  I will attend Friday, May 12 only
If you register for only 1 day and would like to join us for dinner Thursday night, there will be a $30 charge. Please check below for dinner reservation:
 
Dinner - $30.00
 
Workshop [with Meeting] Registration
       Please let us know if you will be attending the Workshop:
$0 - Mode of Action Approaches that Identify Genotoxic Mechanisms in Mammalian Cell Systems - Wed, May 10 from 12:30-6:30 pm
 
Workshop ONLY Registration
       Please let us know if you will be attending the Workshop, but not the meeting:
$50 - Mode of Action Approaches that Identify Genotoxic Mechanisms in Mammalian Cell Systems - Wed, May 10 from 12:30-6:30 pm
 
 
Annual Membership Dues - membership runs from Jan 1 to Dec 31, 2017 (check appropriate box to become a member of GTA or renew your membership)
Applying for new Student Membership - $25.00
 
Renewing Student Membership - $25.00
     
 
Applying for new Full Membership - $50.00
 
Renewing Full Membership - $50.00

FOR ACCESS TO MEMBERS ONLY section of website, enter the username and password you would like to use:

If you would like to keep your Username and Password from the previous year, do not fill out below and check here:  Keep Username and Password     

Username:
Password:
(Please allow 24-48 hours for activation.)
 

                                                     

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