Registration for the Nebraska Physiological Society

The registration to the meeting includes 2010-2011 membership in the Nebraska Physiological Society, breakfast, lunch and break snacks at the meeting.

* Required information

Name*
Title*
School*
Address*
E-mail*
Phone*
Fax

Please indicate your membership affiliation:*

Nebraska
Other Professional

Registration:*

Professional Member $25.00
Post-Doctoral $15.00
Teacher $15.00
Student $10.00


All Students: Please select 2-3 topics of interest for the "Ask an Expert" Lunch Tables

"Ask an Expert" Lunch Tables are designated topical tables with host scientists. The hope is to encourage professional and collegial interaction between students, post-docs and senior scientists. These are not meant to be 'mini-seminars', but rather conversation starters with hosts who have some experience with the Table Topic. The conversation can certainly deviate from the assigned topic. The goals are to enjoy lunch time conversations that will enhance collegial development and develop professional networks. You are encouraged to explore topics outside your expertise to learn new perspectives that may help you "think outside the box".

There will be 6-8 seats at each table, first come, first serve.

1st choice:

2nd choice:

3rd choice:

Hotels in the vicinity of the University of Nebraska Medical Center

Comfort Inn
8736 West Dodge Road
402-343-1000
www.comfortinn.com/hotel-omaha-nebraska-NE407

Residence Inn Omaha Central
6990 Dodge
402-408-1360
www.marriott.com/hotels/travel/omanb-residence-inn-omaha/

NOTICE: This Registration Form may be submitted electronically or mailed to the address below. In either case, mail your Registration fees to the address below by August 6, 2010.

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Please send check for registration to:

Cindy Norton CPS/CAP
Executive Director
Nebraska Physiological Society

University of Nebraska Medical Center
Department of Cellular and Integrative Physiology
985850 Nebraska Medical Center
Omaha, NE 68198-5850
Tel:402-559-4426
FAX: 402-559-4438
Email: nps@unmc.edu