43rd Annual Conference on

43rd Annual Conference on Bioassay, Analytical and Environmental Radiochemistry Registration Form Please complete the following information and return this form with a check for applicable registration fees payable to the Bioassay Conference to:

43^rd Annual Bioassay Conference Attn: Nancy Slater Post Office Box 30712 Charleston, SC 29417

Name:________________________________________________________________
(Last) (First) (MI)

Company, Title:________________________________________________________

Address:______________________________________________________________

City, State, Zip:________________________________________________________

Telephone:________________________Fax:_________________________________

Email:________________________________________________________________

Arrival Date:_____________________Departure Date:________________________

Name of Accompanying Person/Spouse:____________________________________

I plan to attend the following events:	Fees Enclosed:
<> Golf Outing Sunday Morning	<> Pre-registration (before Oct. 8) $120
<> Reception at Environmental Physics, Inc. Sunday evening	<> Registration (after Oct. 8) $140
<> Vendor reception at the Francis Marion Hotel Monday evening	<> Student Registration $75
<> Vendor-sponsored luncheon Tuesday	<> Accompanying Person/Spouse Program $75
<> EPI Historic Charleston Fun Run/Walk Wednesday morning
<> Beach Party Wednesday Evening