Senior Division

Name *

First

Last

Institution *

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Section Preference *

Registration Type *

Member Institution (if applicable)

Would you like to judge in the junior academy (Friday) in any of the following areas?

Would you like your abstract published in the conference proceedings?

Yes - ($20)
No

Would you like to purchase an MAS t-shirt? *

Yes ($12)
No

T-shirt Size *

Small
Medium
Large
X-Large

Would you like to purchase an MAS lapel pin? *

Yes ($5)
No

Would you be willing to serve as a peer reviewer for Transactions? (a journal published by MAS) *

Yes
No

Would you be interested in serving as a Section Chair or Vice Chair? *

Yes, Chair
Yes, Vice Chair
No

If so, please list 3-5 keywords explaining your areas of expertise. (e.g., tomography)

Are you submitting an abstract?

Yes
Yes, but my co-authors have already uploaded our abstract
No

Presentation type

Oral
Poster

Presentation Title

Name of Presenting Author

First

Last

Institution

Department

Abstract Template

Please prepare your abstract in a word document using this downloadable template and upload the file below.

Please use Times New Roman 12pt font and include the name, institution, and department for every author, including the presenting author and all co-authors.

Abstract

Please upload your abstract as a Microsoft Word document. (.doc or .docx)

Total Amount

$ 0.00

Credit Card *

Card Number

Security Code

Name on Card

Expiration/

Comment or Message