**Abstract deadline: April 21, 2000 (unless submitting for award competition -- see Award Competition Guidelines)**
NAME: ______________________________________________________
CAMPUS/WORK ADDRESS: ____________________________________
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PHONE: ____________________ E-MAIL: _________________________
____ Check here if you would prefer a vegetarian meal at the May Conference
CHAPTER FEES AND REGISTRATION (check one):
________ Regular ($35.00) ________ Students ($15.00)
________ I do not plan to attend the meeting, but
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keep my membership active. ($10.00)
MAKE CHECKS PAYABLE TO:
Michigan Chapter Society for Neuroscience
Mail this form and your check to:
Brandi L. Soldo, Ph.D.
Neuroscience Therapeutics
Parke-Davis Pharmaceutical Research
2800 Plymouth Road
Ann Arbor, MI 48105
PHONE: (734) 622-1640 FAX: (734) 622-7178
E-Mail: Brandi.Soldo@wl.com
PLEASE BE SURE YOU HAVE MAILED ALL OF THE FOLLOWING MATERIALS:
______ Registration Form
_______ Check
_______ Abstract