ESA Annual Meeting 2004 Registration

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Meeting Registration Form Electronic Version

The Ecological Society of America
89th Annual Meeting

Lessons of Lewis & Clark: Ecological Exploration of Inhabited Landscapes

August 3-8, 2004 - Portland, Oregon

Please read all of the information below carefully BEFORE completing this Meeting Registration Form.

All Board Members, editors, speakers, presiders, presenters, and organizers are expected to register to attend the meeting.

Full payment for fees due MUST accompany your Meeting Registration Form. If you register using the Electronic Version of the Registration Form, your payment must be by (MasterCard or VISA) ONLY. *Credit card payments will not be processed unless the expiration date is provided. ESA does NOT accept American Express, Discover, or Diners Club. ESA also does NOT accept purchase orders. ESA Federal ID#: 37-0913411

All sections of the Meeting Registration Form marked with an asterisk (*) MUST be filled out completely. Please do NOT submit more than one Meeting Registration Form unless you are adding TRIPS, WORKSHOPS, OR TICKETED EVENTS to your original meeting registration.

PLEASE NOTE: Complete Section B on this form and pay the $25.00 Guest Registration Fee to register an adult who will accompany you at the ESAAnnual Meeting as a guest. This will provide him/her with LIMITED access to meeting programs and amenities. (See Registration Information in the Preliminary Program for details.) If an adult will accompany you at the ESA Annual Meeting and he/she wishes to attend the full scientific program, he/she MUST complete a separate Meeting Registration Form and register to attend independently. You may register each child or youth who will accompany you at the ESA Annual Meeting at no charge. (See Section C.)

If you will attend as a Member of the Media (with press credentials) or a pre-approved VIP Guest, OR you are adding trips, workshops, or ticketed events to your Exhibitor registration, please complete the alternate version of this Meeting Registration Form available in electronic and .pdf format on the ESA website. (See link at www.esa.org/portland/.)

* = Required Information

*Section A. Contact Information (You MUST complete this Section)

*Full Name:

(Last Name) (Middle Initial) (First Name)

*Mailing Address:

(For Meeting Information)

Address 2:

*City:

*State/Province/Region:

Zip/Postal Code:

*Country:

*Phone (Daytime) #:

(US: (###)###-####x#### ; Intl: +##-####-####-)

Fax #:

*Email Address Address:

(username@domain. .com .org .edu .gov .net.)

*Institution or Affiliation :

If you will have different contact information during any period between May 15, 2004 and October 15, 2004, please indicate that information below (for ESA internal purposes only). If you are applying to serve as a Student Volunteer (see Section D) or registering for a Scientific Field Trip or Workshop (see Section F or Section G respectively), you MUST provide at least a daytime phone number or email address to ensure that you receive important follow-up information.

Dates at Alternate Address (Format: DD/MM/YR) :From: To:

Mailing Address:

Address 2:

City:

State/Province/Region:

Zip/Postal Code:

Country:

Phone:

(US: (###)###-####x#### ; Intl: +##-####-####-)

Fax:

Email Address Address:

(username@domain.com,org,edu,gov,net.,)

*How do you want your name to appear on your name badge?

Your Name:

*How do you want your Institution or Affiliation to appear on your name badge?

Institution or Affiliation:

Section B. Adult Guest Registration

To request Adult Guest Registration, please indicate the name of any adult guest (e.g., spouse, domestic partner, significant other, family Members, or other person age 17 or older) accompanying you at the ESA Annual Meeting. You MUST register adult guests who will participate in a Scientific Field Trip and/or Ticketed Event and pay the $25.00 Guest Fee for each. Registered adult guests are entitled to LIMITED access to meeting programs and amenities as described in the Preliminary Program, but are NOT eligible to attend the full scientific program. Each adult guest who plans to attend the full scientific program MUST complete a separate Meeting Registration Form to register independently.

Guest Name	Assess Each Guest Fee
	$25.00 US Dollars
	$25.00 US Dollars
	$25.00 US Dollars

Section C. Child/Youth Registration

To request Child/Youth Registration, please indicate the name and age of each child or youth (infant through 16 years of age) accompanying you at the ESA Annual Meeting. There is no charge to register a child or youth and registered children and youths may participate in Scientific Field Trips and/or Ticketed Events, except where otherwise noted, and . Registered children and youths are entitled to the same LIMITED access to meeting programs and amenities as registered adult guests.

Child Name	Age

Section D. Special Requests

Child Care Services

Optional child care services will be offered at the 2004 ESA Annual Meeting and provided by xxxxxxx. of Portland, Oregon. ESA requests pre-enrollment of children no later than Monday, July 7 to ensure space availability and requires pre-payment of fees for all child care services. Two options are offered as described below.

Option A:

Infant and Toddler Care specifically designed for infants 3 to 24 months old, toddlers 2 to 5 years old, and pre-kindergarten children 5 years old, will be offered at the Portland Convention Center. xxxxxxxxx. will provide service between 8 AM and 5 PM daily Sunday, August 3 through Thursday, August 7, and between 8 AM and NOON on Friday, August 8. Children may be enrolled for half-day and/or full-day care.

Option B:

xxxxxxxx. will operate its yyyyyyyyy program at an off-site location as a youth summer camp for children 5 to 14 years of age. Daily shuttle transportation will depart from the Portland International Trade & Convention Center at 8:15 AM each morning and return at 5 PM each day Monday, August 4 through Thursday, August 7 and at NOON on Friday, August 8. Full-week and per-day enrollment will be offered.

To register your child/children for Infant and Toddler Care and/or Youth Summer Camp, please complete the Child Care Services Enrollment Form and Child Care Profile for each child registered. You will find a link to these and other meeting related Forms on the page that appears when you submit this Electronic Meeting Registration Form and on the Annual Meeting page on the ESA website (www.esa.org/portland/).

Student Volunteer Opportunity

If you are an undergraduate or graduate student, you may apply to serve as a Student Volunteer at the 2004 ESA Annual Meeting. Each Student Volunteer will be expected to provide a minimum of 14 hours of service at the meeting in exchange for a refund of his/her meeting registration fee after the meeting. Only a limited number of Student Volunteers will be accepted and these slots will be filled on a first-applied, first-notified basis. Please do NOT apply unless you will be available to provide 14 hours of service during the meeting. (Applicants who are selected will be notified in early July.)

PLEASE NOTE: Preference will be given to those who served as Student Volunteers at the 2000, 2001, or 2002 or 2003 ESA Annual Meeting and/or those who are accepted as student field trip coordinators, van drivers, or session projectionists by Dr. Ron Carroll, Local Host Chair.

If you want to be considered to serve as a Student Volunteer, please check Here.

Personal Considerations

If you prefer vegetarian meals, please check here.
If you are physically challenged and/or you require special assistance or services, please check here.

Please provide a brief description of special services required or any special circumstances.

*Section E. Registration Category and Fees (You MUST complete this Section)

I am attending the 2004 ESA Annual Meeting as (select only ONE):
ESA Member non-member

PLEASE NOTE: Your Meeting Registration Form must be received NO LATER THAN 5 PM EASTERN DAYLIGHT TIME on the date specified. All forms are automatically stamped with the day, date, and time of receipt.

Select only ONE to indicate the Fee most appropriate to your registration category. Each includes one adult ticket for the All Society Welcome Mixer - Uplands to Lowlands. Full-week and One-Day Meeting Registration options will be offered after the close of the Standard Registration period, but requests for these will be processed onsite ONLY.

	EARLY BIRD by 5 PM EDT Thur. 6/19	STANDARD by 5 PM EDT Thur. 7/24
Regular Membership_Status (*)	$225 US Dollars	$260 US Dollars
Student Membership_Status (* and **)	$115 US Dollars	$125 US Dollars
Regular Non-Membership_Status	$310 US Dollars	$335 US Dollars
Student Non-Membership_Status (***)	$145 US Dollars	$170 US Dollars
K-12/Pre-College Educator	$145 US Dollars	$170 US Dollars

*To qualify for the Regular or Student Member Rate, you MUST be a current Member of the Ecological Society of America.

**To qualify for the Student Member Rate, you do NOT need to provide a copy of your valid student identification card.

***To qualify for the Student Non-Member Rate, you MUST submit a copy of your valid student identification card to ESA Headquarters by fax at 202-833-8775 or by mail to 1707 H Street, NW, Washington, DC 20006. Those who register onsite, will be required to show a valid student identification card in order to receive Student rates.

To apply for ESA Membership, please visit the ESA website at www.esa.org;

Section F. Scientific Field Trips

PLEASE NOTE: Each Scientific Field Trip participant (or the parent or guardian of each participant under 18 years of age) MUST sign an Accident Waiver and Release of Liability Form prior to trip departure. A pdf version of the form may be downloaded and printed from the ESA website (see at www.esa.org/portland/ ) or a hardcopy may be requested from Onsite Meeting Registration staff or trip leaders.

We strongly urge you to read the Important Notes on enrollment, cancellation, and logistics that accompany the detailed descriptions of Scientific Field Trips in the Preliminary Program. The deadline for registering for these activities is Monday, July 7, 2004. Should your plans change, ESA will allow you to cancel if you do so in accordance with our Cancellation Policy. ESA RESERVES THE RIGHT TO CANCEL ANY TRIP FOR WHICH THE MINIMUM REGISTRATION IS NOT REACHED. Updates on filled or cancelled activities will be posted on the Annual Meeting page of the ESA website under Annual Meeting Alerts. (See www.esa.org/portland/)

Except where otherwise noted, trips depart from and return to the Portland Convention Center.

Code	Description PRE-MEETING OVERNIGHT TRIPS	Fee Per Person
FT-1	Sapelo Island/University of Georgia Marine Institute Departs on Friday, August 1 at 8:30 AM; Returns on Sunday, August 3 at 5 PM Fee includes transportation, lodging, meals, snacks, and boat tour.

Section G. Workshops

PLEASE NOTE: We strongly urge you to read the Important Notes on enrollment, cancellation, and logistics that accompany the detailed descriptions of Workshops in the Preliminary Program. The deadline for registering for these activities is Monday, July 7, 2004. Should your plans change, ESA will allow you to cancel if you do so in accordance with our Cancellation Policy. ESA RESERVES THE RIGHT TO CANCEL ANY WORKSHOP FOR WHICH THE MINIMUM REGISTRATION IS NOT REACHED. Updates on filled or cancelled activities will be posted on the Annual Meeting page of the ESA website under Annual Meeting Alerts. (See www.esa.org/portland/)

Code	Description SUNDAY OFF SITE WORKSHOPS (Times reflect scheduled shuttle departure and return rather than workshop start and end times.)	Fee Per Person
WK-1	Vegetation Analysis for Defining and Revising the National Vegetation Classification All participants must be approved in advance. Sunday, August 3, 8 AM to 5 PM, Portland State University, Computer Lab Fee includes transportation to and from offsite workshop location, use of computer lab, box lunch, and beverages.

Section H. Ticketed Events

PLEASE NOTE: We strongly urge you to read the Important Notes on enrollment, cancellation, and logistics that accompany the detailed descriptions of Ticketed Events in the Preliminary Program. The deadline for registering for these is Monday, July 7, 2004. Should your plans change, ESA will allow you to cancel if you do so in accordance with our Cancellation Policy. ESA RESERVES THE RIGHT TO CANCEL ANY EVENT FOR WHICH THE MINIMUM REGISTRATION IS NOT REACHED. Updates on filled or cancelled activities will be posted on the Annual Meeting page of the ESA website under Annual Meeting Alerts. (See www.esa.org/portland/)

Code	Description TICKETED SOCIAL EVENTS	Fee Per Person
TK-1	All Society Welcome Mixer (Registration fee includes one ticket; guest tickets also available) Sunday, August 3, 6:30 PM to 8:30 PM, SITCC, First Floor, Exhibit Halls A and B Meeting Tickets for guests are available at additional cost. ( $15 US Dollars per adult, $6 US Dollars per child ages 6-12, No charge for children under 6)	Additional Adult Fee Child Fee

Code	Description SPECIAL TICKET EVENTS	Fee Per Person
ST-1	Wisconsin Ecologists' Lunch Monday, August 4, 11:30 AM to 1:15 PM, SITCC, First Floor, Jasper Board Room Fee includes one beer and a selection of salads and desserts.

*Section I: Payment Information (You MUST complete this Section)

PLEASE NOTE:
• Credit card payments CANNOT by processed unless the expiration date is provided.
• Meeting Registration Forms received AFTER 5 PM EASTERN DAYLIGHT TIME Thursday, July 24, 2004 will be processed as Onsite registrations.
• A $25 Processing Fee will be assessed for returned checks OR invalid credit cards.
• Requests for refunds will be honored ONLY if received in writing by fax or postmarked no later than Tuesday, July 1, 2004.
• All refunds will be issued AFTER the meeting by October 1, 2004, and are assessed a $25 Processing Fee.

Credit Card Information
*Name as it appears Card:		*Card Type:
*Card Number:	(No Blank Spaces or Dashes )	*Expiration Date:

*ESA is authorized to use the above for charges related to the ESA Annual Meeting. YES

When you click on the PROCESS button, your credit card will be charged.
Please do not press PROCESS twice.

Once received, your Meeting Registration Form and payment will be processed by ESA. This can take up to 30 days. Once processing is completed, a Confirmation Notice will be sent to you. If you do not receive a Confirmation Notice within 30 days, please contact Tricia Crocker at ESA (by phone at 202-833-8773 or by email at tricia@esa.org). We appreciate your patience.