2006 AAI Introductory Course in Immunology Registration Form Please complete the following information. Form may be filled in on the screen and printed.
First Name*
Last Name*
Institution*
Address
City, State, ZIP
Country
Phone
FAX
E-mail address
* Full name and institution will appear on name tag I give permission for the above information to be printed in a course directory: Yes No REGISTRATION FEES: Includes all course materials, daily continental breakfasts and coffee breaks, and box lunches where indicated. As a privilege of membership, AAI Regular Members in good standing are granted a $50 discount. Please check the following boxes as applicable:
Total of amounts checked above
Less member discount ($50), if applicable
Total payment enclosed***
** Download AAI Trainee Certification Form here.
***Accepted forms of payment: personal check, corporate check, money order (please note: credit card payments are not accepted)
