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Membership Registration for Nebraska Physiological Society Meeting

The registration for the meeting includes 2018 membership in the Nebraska Physiological Society, breakfast, lunch and break snacks at the meeting.

DEADLINE: September 24, 2018

* Required information

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

Registration:*

Professional Status Member $50.00
Postdocs and Graduate students $25.00
Undergraduate students $15.00
K-12 Teachers (Registration fee covered by APS)

FRIDAY NIGHT SOCIAL - October 19, 2018
The Friday Night Social will be held at Legends Patio Grill and Bar - Aksarben. 6920 Pacific St suite 100, Omaha, NE 68106. The social will consist of light appetizers, dessert, and a cash bar.  Free parking is available.

Cost for Friday night social:
Free to registrants - cost is included in your registration
Additional Guests - $25.00
I will attend the Friday night social Yes No
I will bring a guest to the Friday night social Yes No

Please answer the following questions for the American Physiological Society:
Are you a member of the American Physiological Society? Yes No
Did you attend the APS Experimental Biology Meeting in 2018? Yes No
Are you planning on attending the APS Experimental Biology Meeting in 2019? Yes No

See the NPS website for more information.

NOTICE: This Membership Registration Form may be submitted electronically or mailed to the address below. In either case, mail your membership/registration dues to the address below:

Cindy Norton CAP-OM
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

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