ASB2009 Registration

This is an online form. Fill in the details and press "submit" to send the details to the ASB2009 conference organisers.

Upon completion you will be emailed a confirmation of your details. Should this not occur, please contact the organisers at asb2009@biophysics.org.au.

Abstract submission and early-bird registration is open until October 12.

Title:
First Name:
Surname:
Department:
Institution:
Street/PO Box:
Suburb:
State:
Postcode:
Country:
Phone:
Fax:
Email:
Text as you would like it to appear on your name tag:
Name:
Institution:

Membership

I am a current member of ASB
If you are unsure of your membership status, please contact the treasurer on treasurer@biophysics.org.au.

I wish to renew my membership or join the society:
Full Membership Annual, $45 Renew Join
Five Year, $200 Renew Join
 
Student Membership Annual, $20 Renew Join
Three Year, $50 Renew Join
 
Retired Membership Annual, $20 Renew Join
Three Year, $50 Renew Join

Please indicate or update your areas of research (up to three broad categories):

1:

2:

3:

For membership applications, please indicate the member of the society nominating you for membership:

I do not wish to join the ASB at this time.

Registration

Student ID will need to be presented at the conference to qualify for student rates. I will be attending the registration evening mixer on Sunday November 29 (no charge). Have you applied for a Student Travel Grant (by contacting the Secretary of the ASB (Dr. Paul Smith, Paul.Smith@anu.edu.au)?
Travel grants are limited to student members presenting at the conference, with endorsement from their supervisor listing other funding received.
Do you wish to be considered for the student presentation award? Have you applied for consideration for the Young Biophysicist Award?

Accommodation

Booking of accommodation is at the discretion of the participant. See this link for suggestions.

Payment

Your Total is $

Please indicate your method of payment.

When you press SUBMIT below to send the other details of your registration to us. You will then be presented with a page with payment details.
We cannot process secure online credit card payments at this time. In this instance, you will be asked to print the following page and send/fax it with your credit card details to the treasurer.

The Australian Society for Biophysics (ASB) is a not-for-profit society registered in Victoria under the Associations Incorporations Act 1981 as The Australian Society for Biophysics Inc (A0036881D). ASB is not registered for the GST so our clients cannot claim credits. The GST indirectly charged due to purchases we make is not recoverable.

Submission

When you are finished please press Submit to send this form to ASB2009.
You will then be presented with a summary of the details submitted as well as information regarding your payment. Once your payment has been processed a receipt will be separately issued.
If you wish to alter your registration after submitting this page please email asb2009@biophysics.org.au.


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