Symposium on Multidisciplinary Approaches to Understanding the Mind and Brain

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Symposium on Understanding the Mind and Brain (SUMB)

Marriott Hotel, University of Arizona, Tucson, Arizona

May 9-11, 2010

We have a limited block of rooms for a special rate at the Marriott Hotel. Please make your reservation with the Marriott Hotel through this link here (with the special group rate included already) by April 12, 2010 to guarantee the special rate.

Registration Form for SUMB

Attendee's Background Information Attendee's Salutation Attendee's First Name (Given Name) Attendee's Last Name (Family Name) Attendee's Affiliation Attendee's AddressAttendee's Email Address Attendee's Telephone (optional) Attendee's Fax (optional) Attendee's Website (optional)

Attendee's Presentation Preference Do you plan to make a technical presentation?

Please fill out the remaining of this section if you answered 'yes' to the previous question.

Title of the Presentation Abstract of the PresentationShort-bio of the PresenterLength of the technical presentation?

More Information Do you plan to stay at the Marriott Hotel, the official hotel of SUMB? Will you be driving to SUMB? Do you have any special dietary restrictions for the banquet? Other special requests

Accommodation Information

A limited block of rooms has been reserved at the Marriott Hotel for the attendees. It will be on a first-come-first-served basis so please make your reservation with the Marriott by April 12, 2010 to ensure the hotel will hold your reservation. Please register through the hotel link at the top of this page.

Payment Information

A banquet/reception and conference fee of $100.00 will be due when you check in on-site. You may pay it by cash or a check. No credit card will be accepted.

Final Confirmation

I agree that the information provided in this form is truthful, to the best of the attendee's knowledge.

I have read the above agreement?Please type 'agree' here