IRA International Conference

::	REGISTER BY MAIL

::	CANCELLATION POLICY

Online Registration

Please use the online registration form below. If registering by mail, payment is by CHECKS ONLY. Early registration is encouraged since space is limited.

Attendee Information Required Information Indicated by ( • )

First Name •

Middle Initial

Last Name •

Affiliation •

Address •

Address Line 2

City •

State/Province: •

Zip Code/Postal Code •

Country •

Telephone •

Fax

E-mail •

NEW INVESTIGATOR

Network Session Panel Breakfast

Payment Information

Registration Fee •

$650 $250 Students Only

$200 Single day registration (does not include dinner events)
Day you wish to attend:

$1,250 Exhibitor (Before registering contact Howard Kartstein at hkartstein@metabolon.com for exhibit space availability)

$150 Non-Registrant Guest (includes 2 dinners)

Guest Name

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NO spaces or dashes please. Expiration Date •
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Billing Information

Same as Attendee Address?

Name •

Address •

Address Line 2

City •

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E-mail •

How did you hear about the 15th International Conference of the Inflammation Research Association?

Please note that we only support the US-English character set. In order to ensure that your transaction is processed correctly, please refrain from using International Characters.

To Register by Mail - click here for registration form

The conference registration form is an Adobe PDF fill-in form. You can type the information online then print the application, however, unless you have the full version of Adobe Acrobat, you will not be able to save the form. To begin entering information, click the hand tool on your tool bar and click into the first field. When you see the blinking cursor, you can start typing in the information into that field. Simply hit the tab button to move between fields. To clear all of the fields in the application, click the reset button at the bottom of the form. When you are finished entering information, click the printer icon on your toolbar to print.

After you have completed the form and printed it, mail it with a check to:

Joan M. Chapdelaine, Ph.D.
Registrar – IRA Conference
Calvert Laboratories
Scott Technology Park
100 Discovery Drive
Olyphant, PA 18447
Phone: 570-585-2211
FAX: 570-585-2383
Email: joan.chapdelaine@calvertlabs.com

Please make check payable to:
INFLAMMATION RESEARCH ASSOCIATION

Cancellation Policy

Written cancellation of registration should be sent to the Registrar.
Cancellations received by Friday, September 10, 2010 will receive a full refund.
Cancellations received after that date will receive NO refund.

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$550 Early registration fee before August 27, 2010

$650 Late registration fee after August 27, 2010

$250 Student fee

$200 Single Day Registration (does not include dinner events)

$150 Non-registrant Guest fee (includes 2 dinners)

$1,250 Exhibitor fee
(Before registering contact
Howard Kartstein for exhibit space availability)