Preregistration Registration Form Brochure

Registration Form2015 Annual Meeting Synergy in Science: Partnering for SolutionsNovember 15-18, 2015 Minneapolis, MNEarly Preregistration Deadline: Sept. 30 • Preregistration Deadline: Oct. 21Registration Fees Before Sept. 30 After Sept. 30 After Oct. 21 Amount DueASA, CSSA, or SSSA Member $525.00 $595.00 $675.00 Professional Nonmember $745.00 $810.00 $880.00 Emeritus Member $270.00 $335.00 $415.00 Early Career Member* $425.00 $495.00 $570.00 Graduate Student Member $270.00 $335.00 $415.00 Undergraduate Student Member (SASES) $ 85.00 $ 85.00 $105.00 Spouse** $ 50.00 $ 60.00 $ 70.00 One-Day Member $380.00 $380.00 $380.00 One-Day Nonmember $480.00 $480.00 $480.00 Two-Day Member $520.00 $520.00 $520.00 Two-Day Nonmember $630.00 $630.00 $630.00 Choose Day(s): ? Sunday ? Monday ? Tuesday ? Wednesday Total Registration Amount Due *Early Career Member is a society member who has completed their terminal degree within the past 7 years and completed their Education History section of their “About Me” membership record. **Spouse registration inludes a name badge that allows access to the exhibit hall, opening, and closing receptions. Individuals whose professional interests are related to soil, agronomic, crop, or environmental sciences or are employed in the industry do not qualify for the spouse registration. Online: www.acsmeetings.org Fax: 608-273-2021 Mail: 5585 Guilford Road, Madison, WI 53711-5801Credit card payment required for online and fax registrations. Checks must be drawn on a U.S. bank in U.S. funds, including routing numbers. Preregistration form page (1 of 3)Program Book/Abstract CD Quantity Amount DueProgram book picked up in Minneapolis $0.00 No program book – I will use the MySci Mtgs application on my smart phone. -$20.00 Receive a $20 credit when choosing to not receive a printed program book Program mailed prior to Annual Meeting $25.00 Abstract CD pick up in Minneapolis $15.00 Abstract CD mailed prior to Annual Meeting $20.00 Total Program Book/Abstract CD Amount Due Keynote Sessions (extra ticket) Quantity Amount Due I will need an extra ticket for the Opening Keynote session and Welcome Reception. $15.00 I will need an extra ticket for the Closing Keynote session and Closing Reception. $15.00 Total Keynote Session/Reception Extra Tickets Professional, Graduate Student, Emeriti, & Early CareerContact InformationASA, CSSA, or SSSA Member Number I am a member of ? ASA ? CSSA ? SSSA First Name Middle Initial Last Name/Surname Mailing Address City State/Province Zip/Postal Code Country This address is ? Home ? BusinessDaytime Phone Fax Number Email Address Badge Information (this is how your badge will read)First Name/Nickname Full Name Place of Employment City State/Province Country Emergency Contact: Phone: Special Events Before Sept. 30 After Sept. 30 Quantity Amount DueASA, CSSA & SSSA 5K Run/Walk, Tues., Nov. 17, 6:30-8:00 am $25.00 $35.00 T-shirt Size. S M L XL XXL Give Back to Minneapolis Foodbank Donation $5.00 $10.00 $20.00 $50.00 $100.00 Total Special Events Amount Due Workshops Before Sept. 30 After Sept. 30 Quantity Amount DueAsreml-R: Analysis of Breeding Trials Sat., Nov. 14, 8:00 am–5:30 pm $120.00 $140.00 Analyses of Microbial Community Composition and Metagenomics Using Qiime, Sun. ,Nov. 15, 8:30 am–4:30 pm $115.00 $135.00 Comet-Farm: Agricultural and Forestry Carbon and Greenhouse Gas Accounting at Your Fingertips, Sun., Nov. 15, 9:00 am–12:30 pm $20.00 $25.00 Meta-Analysis for the Synthesis of Evidence in Agriculture Sun. ,Nov. 15, 9:00 am–4:30 pm $120.00 $140.00 Writing an Abstract for a Paper, Talk, or Poster Sun., Nov. 15, 1:00 pm–3:00 pm (limited number available) No Fee No Fee Data Handling and Analysis Tricks They Don’t Teach You in Grad School Sun., Nov. 15, 1:30 pm–5:00 pm $60.00 $75.00 Mechanical Measurements of Crops and Soils: Principles and Techniques Mon., Nov. 16, 11:00 am–1:30 pm $115.00 $135.00 Making a Compelling Science Message, Mon., Nov. 16, 1:30 pm–3:30 pm $20.00 $25.00 Making a Compelling Science Message, Tues., Nov. 17, 10:00 am–12:00 pm $20.00 $25.00 Women in Science “Breaking the Bias Habit” Workshop/ Reception Tues., Nov. 17, 2:30 pm–5:00 pm $25.00 $30.00 Discounted Student Fee (limited number available) $10.00 $15.00Marketing for Scientists, Wed., Nov. 18, 8:15 am–9:45 am $10.00 $10.00 Analysis of Grazing Data II - Regression Techniques Wed., Nov. 18, 1:00 pm–5:00 pm $60.00 $75.00 Measuring Nitrous Oxide Emissions from Soils: Methodology, Instrumentation, Modeling, Data Stewardship and Analysis Thurs., Nov. 19, 8:30 am–4:00 pm $75.00 $90.00 Total Workshop Amount Due Tours Before Sept. 30 After Sept. 30 Quantity Amount DueUpper Midwest Organic Agriculture Tour Sat., Nov. 14, 7:30 am–4:30 pm $60.00 $70.00 SASES Tour 1: Midwestern Agronomy, Sat., Nov. 14, 7:45 am $50.00 $50.00 SASES Tour 2: Grains of Minnesota, Sat., Nov. 14, 7:45 am $50.00 $50.00 SASES Tour 3: Agricultural Res. & Outreach, Sat., Nov. 14, 7:45 am $50.00 $50.00 SASES Tour 4: Soil Science , Sat., Nov. 14, 7:45 am $50.00 $50.00 SASES Tour 5: The Mighty Mississippi River, Sat., Nov. 14, 7:45 am $50.00 $50.00 Divison C-5 Turfgrass Tour Sat., Nov. 14, 9:00 am–4:00 pm $40.00 $50.00 Twin Cities Highlights Tour/Mall of America Sat., Nov. 14, 10:00 am–4:00 pm $36.00 $46.00 Sun., Nov. 15, 10:00 am–4:00 pm $36.00 $46.00 Bell Museum of Natural History, Mon ., Nov. 16, 1:00 pm–3:30 pm $40.00 $50.00 St. Paul’s Notorious Past, Tues., Nov. 17, 1:00 pm–3:30 pm $44.00 $54.00 Behind the Scenes: Aveda – Connecting Beauty, Environment & Well-Being. Wed., Nov. 18 $55.00 $65.00 Total Tour Amount Due Preregistration form page (2 of 3)PaymentPlease total your fees from the different categories of this registration form: Registration Total $ Extra Keynote Ticket Total $ Program book/CD Total $ Workshop Total $ Tour Total $ Special Events Total $ Food Functions Total $ GRAND TOTAL $ Check one of the forms of payment below. Registration forms not including proper full payment will not be processed.? Check (made payable to ASA-CSSA-SSSA, drawn on a US bank in U.S. funds, including routing numbers)? Credit Card. Accepted credit cards include Master Card, Visa, Discover, and American Express. Two credit card fields are available below if you need to charge portions of your fee to your personal card or company card.I grant ASA, CSSA, SSSA permission to interview me and/or to use my likeness in photograph(s)/video in any and all of its publi-cations and in any and all other media including social media, whether now known or hereafter existing, controlled by ASA, CSSA, SSSA, in perpetuity, and for other use by the ASA, CSSA, SSSA. I will make no monetary or other claim against the ASA, CSSA, SSSA for the use of the interview and/or the photograph(s)/video. Credit Card Number Credit Card Number Exp. Date (Mo/Yr) Ex. Date (Mo/Yr) Card Holder Name (please print) Card Holder Name (please print) Card Holder Signature Card Holder Signature Amount Amount ? Check here if you do not wish to be included in the Annual Meetings directory.Registration SubmissionPlease complete all three pages of the registration form and mail or fax it with your payment to:Mail: ASA, CSSA, and SSSA, Attn: AMs Registrar, 5585 Guilford Rd., Madison, WI 53711 • Fax: 608-273-2021Online: www.acsmeetings.org/registerDo you have any accessibility needs due to a physical disability? ? Yes ? NoYou will be contacted prior to the Annual Meeting to make any necessary accommodations.Preregistration form page (3 of 3)Food Functions Before Sept. 30 After Sept. 30 Quantity Amount DueSASES Brunch (faculty), Sun., Nov. 15 $40.00 $50.00 SASES Dinner (faculty), Mon.,Nov. 16 $50.00 $60.00 ASA Plenary Awards Breakfast*, Mon. Nov. 16 $10.00 $10.00 CSSA Plenary Awards Breakfast*, Tues Nov. 17 $10.00 $10.00 Golden Opp. Scholar Symp. & Luncheon (faculty), Tues., Nov. 17 $45.00 $55.00 Frank N. Meyer Award & Breakfast, Wed., Nov. 18 $40.00 $50.00 SSSA Plenary Awards Breakfast*, Wed., Nov. 18 $10.00 $10.00 *Limited Number of Tickets Total Food Functions Amount Due Tours & 5K Run — Agreement to Participate — Release of LiabilityThis section must be completed in order to participate in field tours and 5K run.Re: Name of Event(s) Date I release, waive, and forever discharge the ASA, CSSA, and SSSA, their directors, officers, agents, and em-ployees from all liability and any claim or demand I may have on account of injury to me during the tour(s) listed above. I have read this Agreement to Participate, Release of Liability, and fully understand its terms. Print Name Signature