Senior Division Name *FirstLastInstitution *Email *Phone *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDivision Preference *Senior Division (Undergraduate/Graduate/Faculty/Professional)Junior Division (Middle & High School)Section Preference *AgricultureAtmospheric ScienceBiochemistry, Biomedicine, & BiotechnologyBiologyChemistryComputer Science & MathematicsConservationGeographyGeology & GeosciencesPhysics & EngineeringScience EducationSocial & Behavioral SciencesRegistration Type *Faculty/Professional - MAS Member ($60)Faculty/Professional - Non-MAS Member ($100 - Includes a 1-year membership)Faculty/Professional - Non-MAS Member, Non-Presenter ($70)Retired/Emeritus Faculty ($15)Graduate Student - MAS Member ($20)Graduate Student - Non-MAS Member ($25)Undergraduate Student - Member Institution (Free)Undergraduate Student - Non-Member Institution ($25)Visitor - Parent, Spouse, Friend ($10)Vendor - Commercial ($100)Vendor - Institutional Member ($60)Teacher - K12 Schools ($15)Student - K12 Schools (Free if $50/student 2017 District Affiliation Fee has been paid by district or school)Student - K12 Schools (Student is paying $50/student 2017 District Affiliation Fee)Member Institution (if applicable)NoneA.T. Still University of Health SciencesCentral Methodist UniversityCleveland Chiropractic CollegeCollege of the OzarksColumbia CollegeCottey CollegeCulver Stockton CollegeDrury UniversityEvangel UniversityFontbonne UniversityHannibal-LaGrange UniversityJefferson CollegeLincoln UniversityLindenwood UniversityMetro Community CollegesMissouri Southern State UniversityMissouri State UniversityMissouri University of Science & TechnologyMissouri Valley CollegeMissouri Western State UniversityMoberly Area Community CollegeNorthwest Missouri State UniversityPark UniversityRockhurst UniversitySt Louis College of PharmacySt Louis UniversitySoutheast Missouri State UniversitySouthwest Baptist UniversityState Fair Community CollegeStephens CollegeTruman State UniversityUniversity of Central MissouriUniversity of Missouri - ColumbiaUniversity of Missouri - Kansas CityUniversity of Missouri - St LouisWashington University in St LouisWebster UniversityWestminister CollegeWilliam Jewell CollegeWilliam Woods UniversityWould you like to judge in the junior academy (Friday) in any of the following areas?Agricultural ScienceBehavioral/Social SciencesBiologyChemistry/MedicineMicrobiologyPhysics/Engineering/MathWould you like to purchase an MAS lapel pin? *Yes ($5)NoWould you be willing to serve as a peer reviewer for Transactions? (a journal published by MAS) *YesNoIf so, please list 3-5 keywords explaining your areas of expertise. (e.g., tomography)Total Amount$ 0.00Credit Card *Card NumberSecurity CodeName on CardExpirationMM123456789101112/YY1718192021222324252627Comment or MessageWebsiteSubmit
