Register for the OSU Acarology Summer Program

All parts of the form must be completed for proper registration.
 
First Name:
Last Name:
Address Line 1:
Address Line 2:
Address Line 3:
City:
State:
Country:
Zip Code:
Phone:
Fax:
Country Code:
E-mail:
University or Company Name:
Are You A Student?: Yes

No
Other Information:
   
Choose workshops:
Workshop
Dates
Student Fee
Non-Student Fee
Introductory Acarology
2011
$550
$700
Agricultural Acarology
2011
$1100
$1400
Soil Acarology
28/6-16/7
$1650
$2100
Medical-Veterinary Acarology
28/6-9/7
$1100
$1400
 
   
Do you need us to provide housing?:
 Yes
No
If you want to make your own arrangements for housing you can deduct $200 per week. Please note that hotels in the area charge $80 - $140 per day.
Gender:
 Male
Female
Smoking Preference:
 Smoker
Non-smoker
Are you disabled or have any special educational or housing requirements?: