FAME 2009 Registration

FAME 2009 REGISTRATION FORM

Dr. Mr. Ms. First Name: Middle Initial: Last Name: Jr., Sr. III, Etc.
Name as you want it to appear on your FAME Name Tag:
University or Company:		Department:
Mailing Address: City
State:	Country:	Zip or Postal Code:
Telephone:	FAX:	Email Address:
If you are planning to attend the banquet, please indicate your choice of meal: Steak Salmon Vegetarian
I am a Graduate Student Undergraduate Student High school Student Post-Doc Professor Retired Other
I would like to present a: Talk Poster Either	Section:
Input Title:
The Florida Section of the ACS will sponsor each Graduate and/or Undergraduate Presenter for 1/2 of a room for one night. In order to qualify for this discount, you must be presenting and in double occupancy with another graduate or undergraduate presenter and your major professor must be registered for the meeting. If you feel you are eligible for this discount please complete the section below after you reserve your room. All requests for a room night discount must be submitted by April 23rd 2009. No discounts will be processed after this date. I am a Graduate or Undergraduate Presenter and I would like a half night room rate discount. My roommate's name is . My major professor is registered and my hotel confirmation number is . I do not wish to have my name and address released to the vendors of FAME 2009

Confirmation of receipt of registration will be emailed to you within 24 hours. If you do not receive an email, please resubmit your registration

Talk or Poster Abstract:

Please submit a Microsoft word file of your abstract for your talk or poster in the following format:

Font and size: Arial Size 12

Word Count Limit: 150 (No pictures or equations please)

TITLE IN ALL CAPS and in bold. Presenting Author underlined, Author 2, Author 3, etc. School, Mailing Address (no home addresses please).

Text.

Example:

NATURAL PRODUCTS DRUG DISCOVERY: INTERESTING HIGH SCHOOL STUDENTS IN CHEMISTRY. Bill J. Baker, Department of chemistry, University of South Florida, 4202 E. Fowler Ave CHE205, Tampa, FL 33620.

Few students evaluating career choices realize that several fields of chemistry involve field work. Marine natural products chemists enjoy travel to many distant locations and scuba diving in often exotic locations. Taken with the allure of drug discovery – curing diseases – the presentation of a natural products drug discovery lecture to high school students has proven effective at capturing their imagination. An example of a high school-level marine natural products drug discovery lecture, based in Antarctica, will be discussed.

Please name your abstract using your last name and the section in which you will be presenting (Ex. dillon_chemed, or Yang_poster).

Please email your abstract as an attachment to Dr. Stephanie Dillon

Meeting Registration Fees

Those wishing to pay by check:

Please make the check payable to FLACS and send to Dr. Jim Horvath, FLACS Treasurer, PO Box 117200, Gainesville, FL 32611 USA. Checks must be received no later than April 17th 2009. Be sure the name of the attendee(s) is clearly noted on the check.

You can now pay with Paypal, accepting

NOTE: Those persons paying for a group can submit the registrations all at one time by changing the number of registrants in the shopping cart. Simply email Dr. Stephanie R. Dillon (sdillon@chem.fsu.edu) with the list of names of the people you registered.

Registration	Advance (Deadline April 17, 2009)	At the door
Regular ACS Member		$65.00
Non-member Chemist/Chemical Engineer		$70.00
Graduate/Undergraduate Student Presenter (poster or oral)		$25.00
Graduate/Undergraduate Nonpresenter		$35.00
Postdoctoral Presenter (poster or oral)		$35.00
Postdoctoral Nonpresenter		$45.00
HS Teacher or Retired		$10.00
50 yr. Member	no charge	no charge
Additional contribution to help subsidize FAME		Thank you very much

Banquet

A Banquet will be held Friday night starting at 7:00PM. Our guest of honor and keynote speaker will be Dr. Jerry DeMenna .