2018 ASCLS-IL Annual Meeting & Exhibits
April 18-20, 2018
NIU Naperville Conference Center
1120 E. Diehl Rd
Naperville, IL 60563

For questions contact Kate Bernhardt (KABernhardt@lumc.edu)

For online payment go to: https://squareup.com/store/ascls-il

Email address *
First Name *
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Last Name *
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Phone Number
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Address
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Organization *
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ASCLS Member #
Must include if you are registering at the reduced member rate. Not a member? Sign up for an ASCLS membership and receive member rates for the annual meeting. Fill out the Membership Application (http://asclsil.org/Events/2018_ASCLS-IL_Spring_Meeting_Reg-Form.pdf - 2nd and 3rd page only) and email pdf to ascls.il.treasurer@gmail.com. Pay for membership fee and registration fee on our online payment site.
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Check the Appropriate Box for Registration Type *
Required
Meal Tickets for Institutional Passes/Guests $20 each
Breakfast
Lunch
Thursday
Friday
I plan to attend the following sessions:
Please refer to program for session descriptions.
Dietary restrictions
I will attend the following:
Please complete this statement to help faciliate meeting planning.
Board of Directors Meeting Lunch (Wed. only)
Breakfast (Thursday/Friday)
Lunch (Thursday/Friday)
Social event on Thursday (5:15-7:15pm)
Awards Ceremony (during Friday lunch)
Wednesday
Thursday
Friday
I am willing to serve as session moderator on:
**Moderators are assigned to one of their chosen sessions. They will be required to introduce the speaker (bio provided), do a head count, give the P.A.C.E. code at the end, sign the session summary form, distribute and collect the evaluation forms and return packets to the desk after the session.
Please note any allergies or special accommodations of which the meeting planning committee needs to be aware.
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A copy of your responses will be emailed to the address you provided.
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