2023 Workshop & Technical Symposium Registration Please enable JavaScript in your browser to complete this form.Attendee Name *FirstLastDesignations, i.e. Ph.D., P.E., M.S., etc.Attendee Email *Phone *Organization *Mailing Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSymposium (Wed-Fri) Registration Options (Select all that apply) *Full 3 day registration – $ 399.00Wednesday only – $ 229.00Thursday only – $ 229.00Friday only – $ 99.00Spouse 3 day registration – $ 175.00Student Registration – $ 125.00Travel Grant Recipient – $ 0.00Tuesday Workshop Add-ons. Select one full day or 2 half day.Oxygenation & Circulation – 1/2 day morning – $ 50.00DEP Sampling SOPs 1/2 day – morning – $ 50.00Remote Monitoring – 1/2 day afternoon – $ 50.00Algal ID – Full day – $ 100.00R Shiny – Full day – $ 100.00T-shirt Size *SmallMediumLargeXL2X3XHow would you like your FIRST name to appear on your name tag?Do you require any ADA assistance? If yes, please describe.Do you have any dietary restrictions? If yes, please state.Would you be interested in signing up (on site) for the Conch Crawl bus to Key West on Thursday evening? Cost will be $30 and will leave immediately following the last talk on Thursday and will return to the hotel around 11pm. Dinner and drinks on your own in Key West (with your friends of course). Complimentary beverages will be provided on the bus along with Mile Marker Trivia! You are not obligated by clicking Yes below, we are just gaging interest. We also hope to have a discount on the sunset cruise for that same evening for those who wish to stay closer to home.YesNoMaybePhoto/Image Release: By registering for the 2023 FLMS Annual Symposium, I hereby grant FLMS permission to use any and all photographic imagery and video footage taken of me at this event and activities pertaining to this event, without payment or any other consideration. I understand that such materials may be published electronically or in print, or used in presentations or exhibitions. *I agreeCancellation Policy: I understand cancellations must be received in writing before midnight on August 1 to receive a full refund. Cancellations between August 2 and Friday, August 11 will receive a refund, less a $75 processing fee. Fees will not be refunded for registrations cancelled after August 11 or for no-shows. *I understandHow did you hear of the FLMS Symposium?FLMS emailColleagueFLMS WorkshopOtherComment or MessageTotal Amount$ 0.00Payment Type *Credit CardCheckStripe Credit Card *CardName on CardWebsiteSubmit registration Share this:TwitterFacebookLike this:Like Loading...
