2014 Summer Fellows Forum Open Registration

Summer Fellows Forum 2014

June 2nd - 6th, 2014, Berkeley, California

 

PARTICIPANT REGISTRATION FORM / INVOICE

Please complete all of the following information.  This form will also serve as your invoice.

 

Contact Information
Mailing Address
Special Accommodations

If you need special accommodations (e.g. special diet, first floor room), please let us know.

Registration Fees

All registration fees include meals at the Clark Kerr Campus, workshops, and materials. For participants who will be staying at the Clark Kerr Campus, registration fees also include lodging.

The Clark Kerr Campus is a college dormitory. Each suite has two separate rooms. If you wish to share your suite with a specific person, please let us know; however; please be aware we are not able to accommodate spouses or children.

Clark Kerr Campus parking permits cover the entire week and cost $56.00.

TOTAL PAYMENT DUE:  $806.00

TOTAL PAYMENT DUE:  $750.00

Clark Kerr Campus parking permits cover the entire week and cost $56.00.

TOTAL PAYMENT DUE:  $506.00

TOTAL PAYMENT DUE:  $450.00

REGISTRATION FORM DEADLINE:               FRIDAY, MAY 9, 2014

 

INVOICE / PAYMENT DEADLINE:                   FRIDAY, May 30, 2014

 

BEFORE submitting your form: Please print a copy of your completed registration form.

 

AFTER submitting your form: Please mail a copy of your completed form with a check to:

Bio-Link, 1855 Folsom Street, Suite 643, San Francisco, CA 94103

Make the check payable to City College of San Francisco / Bio-Link

(Please note: we are unable to accept payments by credit card or Paypal.)

Questions?  Email (lhuffman@biolink.ucsf.edu)

 

I understand that if all Registration Fees are NOT RECEIVED and PAID IN FULL by Friday, May 30, 2014, I may forfeit my attendance at the Forum. Late Registrations will ONLY be accepted by prior approval and on a case by case basis.

 

Please print this form before submitting. The printed form will verify your registration and serve as your invoice.

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