American Biological Safety Association

  Mid-Atlantic Biological Safety Association
 

21st  ANNUAL BIOLOGICAL SAFETY  SYMPOSIUM 

Thursday, June 19, 2008

Omni New Haven Hotel at Yale

New Haven, CT 

 

MABSA Member Registration Form
 

 

(Please print this form and send to the address below with your payment)             

Name:

 

Affiliation:

 

Address:

 

 

 

 

 

Business Phone:

 

Business Fax:

 

Email Address:

 

Registration is limited to the first 75 applicants. Lunch is included. See enclosure for directions and hotel information. Pre-registration is required. There will be no on-site registration. All fees are non-refundable.

 Registration Fee: $50.00 ($70.00 for non- members)

Make Check Payable to: MABSA

Please respond no later than June 12, 2008 to:

Brian R. Petuch, RBP
Merck Research Laboratories
 PO Box 4, WP44-204
 West Point, PA  19486

Tel  215-652-4039
Fax  215-993-0738

brian_petuch@merck.com