South Carolina Academy of Science
South Carolina Academy of Science
2005 Annual Meeting
Friday, March 16, 2005
Winthrop University, Rock Hill, SC
CALL FOR CONTRIBUTED PAPERS
ABSTRACT AND PRE-REGISTRATION DEADLINE: January 13, 2005
SCAS Membership and Meeting Pre-Registration Form
Check One of the Following
I am Already a member of SCAS. I am paying my dues for current year and the meeting registration fee.
I would like to join SCAS this year. I am paying for my dues and the meeting registration fee.
I am already a member of SCAS.  My dues are paid for this year.  I am paying for the meeting registration fee.
I choose to just register.  If I am presenting a paper, the name of a currently active member is also on the abstract.

Name: Title   First Middle Last

Address for New Member    Address Changes for Renewing Member  

Mailing Address:       

Street
 
City          State           Zip Code

E-Mail Address

If joining as a new member, preferred Preferred Vocational Discipline from drop box

If joining as a new member, indicate type of institutional affiliation from drop box

     Other:

If joining as a new member, indicate Membership Category and applicable Membership Dues (check one)

Student ($ 12.00)        Teacher (K-12) ($ 12.00) Regular ($ 25.00)
Contributing ($ 37.00) Patron ($ 100.00) Lifetime ($ 375.00)
Member & Spouse ($ 37.00)    

 

FEE SCHEDULE

 

 
Annual Meeting Registration Fees

$ 7.00
(Before Jan. 13, 2005, after
Jan. 13 - March 9, 2005 fee will be $10.00
Onsite Registration will be $15.00)

$

Lunch for SCAS Members

$ 9.00

$

Jr. Academy Awards / Pizza Dinner

$7.00

$

SCAS Membership Dues (see above)  

$

MAKE CHECK PAYABLE TO "SCAS"

TOTAL

$

     
NOTE: Please print a copy of  this for your files before pressing the submit button and proceeding to the payment page.