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 *Attendee Cell Phone (Necessary for emergency use.) *Organization *Mailing Address *Address Line 1Address Line 2CityFloridaAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict 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 – $ 0.00No Symposium – Just Tuesday Workshop Selected Below. – $ 0.00Tuesday Workshop Add-ons. Select one full day or 2 half day.Synbranchid Eels 1/2 day afternoon – $ 50.00DEP Sampling SOPs 1/2 day – afternoon – $ 50.00Algal ID – Full day – $ 100.00R and AI – 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.Photo/Image Release: By registering for the 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 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 CardName *FirstLastNameSubmit registration Share this:FacebookXLike this:Like Loading...
