Registration Form for Annual MOBIO Conference
Fax Back To: (573) 761-7601
2009 MOBIO Life Sciences Summit
Annual Conference and Annual Meeting
December 15-16, 2009
REGISTRATION FORM
Registration Fees:
____ MOBIO Member $339 ___ Non-member $439
Please register me for the 2009 MOBIO Life Sciences Summit:
Name: ______________________________
Title: ______________________________
Business Name: ______________________________
Address: _____________________________
City, State Zip: ______________________________
Phone / Fax: __________________/__________
E-mail: ____________________________
<-- Method of Payment
If paying by credit card simply fax this form to (573) 761-7601
or, if paying by check, print and mail this form to MOBIO,
PO Box 148, Jefferson City, MO 65102-0148
and make the checks payable to the Missouri Biotechnology Association.
Credit Card #: ________________________________
Signature: ________________________________
Name on Card: ________________________________
Type of Card: circle one of these two choices MASTERCARD or VISA
(MOBIO does not accept Discover or American Express)
Exp. Date: _________/________
******************
Hotel Information
Conference attendees are responsible for making their own hotel reservations.
Hotel Reservations for the Tan Tar A Resort in Osage Beach can be made by booking your room over the phone by calling (573) 348-3131. Be sure and request the Missouri Biotechnology Association room block, informing the reservationist that you are with the MOBIO 2009 Summit on Life Sciences. The room block will expire on November 13, 2009, and the negotiated conference rate is $85 for Building E, the newest of the buildings at Tan Tar A.
Why you should attend….. The purpose of the annual life sciences summit is to provide a working forum. Conversations will be stimulated, and the goal is to increase involvement of the life sciences community in order to actively involve the full spectrum of voices and interests and to harness that power for an even stronger life sciences movement. Participants need not be members of MOBIO to attend.
Who should attend….. The Summit is recognized as the leading statewide biotechnology conference opportunity and will feature a comprehensive program that promises to attract bioscience executives, laboratory directors, university officials and researchers, technology transfer officers, intellectual property specialists, health care executives and economic development professionals.