NAZRS 2017 Registration Page

We are excited that you have landed on this page to register for the 2017 North Atlantic Zebrafish Research Symposium on June 12-13 in Orono, ME, USA!!!

NOTE: ABSTRACT DEADLINE IS MAY 8TH!

Please fill out the registration form below with your:

personal information
registration type
intent to present and abstract (250 words or less)
desire for a conference T-shirt (USD $20)
desire to attend the conference banquet Monday June 12^th (USD $35)

Registration cost is the following:

By May 8^th

Trainees USD $50
Other USD $100

After May 8^th

Trainees USD $60
Other USD $120

Please submit your payment either by one of the two following methods:

By check:

Robert T. Wheeler
Department of Molecular & Biomedical Sciences
University of Maine
5735 Hitchner Hall
Orono, ME 04469-5735
USA

By credit card/Paypal:

Use the Eventbrite website for the conference to submit your payment.
https://www.eventbrite.com/e/north-atlantic-zebrafish-research-symposium-2017-registration-32032571283

NAZRS 2017 Registration

Registration form for NAZRS 2017

First Name*
Last Name*
Institution*
Department
Street Address (Line 1)*
Street Address (Line 2)
City*
US State or Canadian Province*
ZIP Code*
Country*
Contact E-mail Address*
Phone Number
Registration Type
- Student or Trainee ($50)
- Faculty ($100)
- Other ($100)
Name of Supervisor (if Trainee selected)
Reservation for Monday Evening Banquet*
- Yes
- No
NAZRS 2017 T-shirt
Registration Payment Method
Do you want to submit an abstract?*
Desired Presentation Type
Position or Level of Training of Presenting Author
Abstract Title

(100 characters or fewer)
Abstract Author(s) and Addresses
Abstract (Paste in your abstract. 250 words or less.)
Letter of Invitation Required?