Registration Form
5th Annual Finger Lakes Research Conference
Saturday, December 5, 2009

Contact Information:

First and Last Name:

Organization/Institution:

Department/Office:

Profession:

Street Address:

City:

State: ZIP:

Preferred
E-mail Address:

Home Phone:

Work Phone:

Web site URL:

Non-students:

How will you participate in the Conference?
Please check only one answer.

Attending Only

Oral Presentation

Poster

Theme of Research:

Students:

Undergraduate
Graduate

How will you participate in the Conference?
Please check only one answer.

Attending Only

Oral Presentation

Poster

Theme of Research:

I have dietary restrictions:

Registration Fees:
Funding for conference provided by NYS through the advocacy of Senator Michael F. Nozzolio. All those attending the Conference will receive FREE registration, which includes a copy of the extended abstract volume, refreshments, snacks and lunch.

All conference-related correspondence should be addressed to:
Finger Lakes Institute

Sarah Meyer
601 S. Main Street
Geneva, NY 14456
Phone:315.781.4382
Fax: 315.781.4399
fli@hws.edu