Registration

Registration Deadline: May 16, 2008

IAC YOUNG INVESTIGATORS' COMPETITION
    I am registering as a competitor in the IAC Young Investigator Competition
 
  If you are registering as a competitor in the IAC Young Investigator Competition,
please provide the name of the participant that is recommending you in the box provided..


For additional information regarding the competition, please reference
the Call for Abstracts by clicking here!  
CONTACT INFORMATION
First Name:
MI:
Last Name:
Degrees:
Title:
Institution / Company:
Mailing Address:
Country:
Telephone: Please include country/city codes
Fax:
Email Address:
   
Guest Name:
REGISTRATION FEES
Regular Attendees: $250
Students and Fellows: $100
Non-supporting Industry: $500 (minimum fee covers up to two attendees)
6th Annual Cardiovascular Endocrinology Dinner Symposium $65
Registration fee covers meeting materials, luncheon on Saturday afternoon and meeting breaks.
 
For the first time ever the Endocrine Society and the International Aldosterone Conference will join forces and co-host the 6th Annual Cardiovascular Endocrinology Dinner Symposium. The dinner symposium will be held at the W Hotel on Saturday evening, June 14th. Advance registration and registration fee are required.
 
Payment Options:
On-line Payment: Payment may be made on-line by credit card (American Express, Visa, MasterCard, Discover).
Checks may be mailed to:


 		 IAC Executive Office
4421 Broadway Avenue
Evansville, IN 47712
USA
Fax: Forms with payment information may be faxed to the IAC Executive Office at 812-424-4201.
 
On-line Credit Card Payments
Please select your registration fee from the drop-down box:
Yes! I will attend the Dinner Symposium
Credit Card Number:
Expiration Date (mm/yr)
Card Holder's Name:
   
As an anti-fraud security measure, we require the credit card billing address. This is the billing address where the credit card statement and bill for payment is sent. Please be accurate.
 
VOLUNTEER
Each year the conference planning committee requests volunteers to assist with reviewing, scoring and recommending participant abstracts for oral presentations. The planning committee also recruits attendees to participate as judges for the IAC Young Investigator Competition. If you would like to be considered please volunteer by checking your choice(s) below.
 
Please consider me for the abstract review committee this year.
Please consider me to serve on the IAC Young Investigator presentation review committee this year.
Check here if you do not wish to have your name and contact information listed in the participant roster in the program book.