DEADLINE FOR RECEIPT OF ADVANCE REGISTRATION FORM IS

41st MIDDLE ATLANTIC REGIONAL MEETING 2010
APRIL 10-13, 2010
WILMINGTON, DELAWARE
Academe 
Name:
Company/University:
Street Address:
City, State, Zip:
Local Section:
Phone:
Fax:
ADVANCE REGISTRATION FEES
 01. ACS member
 02. Nonmember
 03. Graduate Student
 04. Undergraduate Student
 05. Precollege Teacher
 06. Post-Doctoral Fellow
 07. Retired/Emeritus/Unemployed
 08. Guest *
 09. High School Student
 10. High School Parent
 11. AstraZeneca (former employee)
 12. 50 Year ACS Member
$ 135
$ 170
$ 45
$ 30
$ 25
$ 60
$ 35
$ 30
$ 10
$ 20
$ 35
No Charge
$ 170
$ 225
$ 70
$ 60
$ 45
$ 90
$ 40
$ 35
$ 20
$ 30
$ 35
No Charge
* Non Chemist Professional, Spouse, Relative, etc.
Guest of: __________________________________
Government 
ACS Division(s):
Email:

SPECIAL EVENTS AND WORKSHOPS
Welcome Reception, Continental Breakfast
Saturday, April 10th, 7:30 AM – 9:00 AM

ACS CHAS Division, Laboratory Waste Management Workshop,
Saturday, April 10th, 1:00 PM – 5:00 PM

Women Chemists Committee Luncheon, Saturday, April 10th, Noon – 1:30 PM
ACS Member $ 25.00
Student ACS Member $ 15.00
Non-ACS Member $ 35.00

Mixer , Sunday, April 11th, 4:30 PM – 6:30 PM

ACS CHAS Division, How to be a More Effective Chemical Hygiene Officer,
Sunday, April 111h, 8:30 AM – 4:00 PM
No Charge
$ 199.00
$ 15.00
$ 325.00
ACS Leadership Development Course, Fostering Innovation
Sunday, April 11th, 1:00 PM – 5:00 PM
ACS Member * $30.00
Non-ACS Member * $180.00
ON-SITE REGISTRATION FEES
 01. ACS member
 02. Nonmember
 03. Graduate Student
 04. Undergraduate Student
 05. Precollege Teacher
 06. Post-Doctoral Fellow
 07. Retired/Emeritus/Unemployed
 08. Guest*
 09. High School Student
 10. High School Parent
 11. AstraZeneca (former employee)
 12. 50 Year ACS Member
Industry 
•
These fees are subsidized ($120 per person) by the Delaware Section
THERE IS A SEPARATE REGISTRATION REQURED FOR THE ACS LEADERSHIP
DEVELOPMENT COURSE. PLEASE GO TO: www.acs.org/professionaldevelopment TO
REGISTER.
Continental Breakfast With ACS Governance
Monday, April 12th , 7:30 AM – 8:30 AM
Awards Banquet, Monday, April 12th
No Charge
 Mixer, Monday, April 12th , 4:30 PM – 6:30 PM
$ 15.00


$ 40.00
WORKSHOPS (No Charge, but please register to attend)



Planning Your Job Search, Monday, April 12th, 8:00 AM – 9:30 AM
Preparing a Resume, Monday, April 12th, 9:30 AM – 11:00 AM
Effective Interviewing, April 12, 11:00 AM – 12:30 PM
BOX LUNCHES (All boxed lunches are $15.00 each)
Saturday,
Sunday,
Monday,
Tuesday,
April 10
April 11
April 12
April 13
 Veggie
 Veggie
 Veggie
 Veggie
 Chicken
 Chicken
 Chicken
 Chicken




Ham
Ham
Ham
Ham
 Roast Beef
 Roast Beef
 Roast Beef
 Roast Beef
DEADLINE FOR RECEIPT OF ADVANCE REGISTRATION FORM IS MARCH 28, 2010
• ALL REGISTRATIONS MUST BE PREPAID BY EITHER CHECK OR CREDIT CARD IN ORDER TO BE PROCESSED.
• MAIL OR FAX COMPLETED FORM TO: AMERICAN CHEMICAL SOCIETY, OFFICE OF SOCIETY SERVICES, 1155--16TH STREET, N.W., WASHINGTON,
DC 20036. PHONE: (800) 227-5558; FAX: (202) 872-6067. REQUESTS FOR REFUNDS MUST BE SUBMITTED IN WRITING PRIOR TO APRIL 9, 2010.
TOTAL FEES:
Registration
$ ________
Special Events
$ ________
Box Lunch
$ ________
TOTAL AMOUNT ENCLOSED
$ ________
Paid by:  American Express  Master Card
 Visa
 Check
EXP.
DATE
Cardholder Name (please print):_______________________________________________________
Signature:
Ver. 03-16-2010