2007 Annual Spring Meeting
Registration Form
May 6-7, 2007
Hyatt Regency Bethesda
Bethesda, MD

Name
                  (First, Middle Initial, Last, Degree)
Department or Program Represented
Institutional Affiliation  
Address 
City       State       Zip 
Phone       FAX       E-mail

    Registration Fee (Includes meeting materials, Saturday night banquet dinner,
                                     and breakfast and lunch on Sunday)
         For Saturday night banquet dinner: Vegetarian entrée Yes  No
         For Sunday Boxed Lunch

$

   Guests (Saturday night banquet dinner only)  @ $75.00 each $
          Dinner Guest Name(s)
         
         
         

TOTAL Check or Charge:

$

PAYMENT OPTIONS

  Check    (Make check payable to: ANDP or Association of Neuroscience Departments and Programs.   US currency only. Drawn on US Bank.   Purchase Orders are not accepted as payment). 
  Credit Card               Visa           MasterCard           American Express           Discover
CREDIT CARD INFORMATION
Card#  - - -               Expiration Date 

Cardholder’s Name 

Cardholder’s Phone Number 

PLEASE PRINT AND SUBMIT THIS FORM WITH PAYMENT BY April 16, 2007.
Association of Neuroscience Departments and Programs (ANDP)
41218 Roundup Road
Magnolia, Texas 77354
(281) 259-6737 [PHONE]      (281) 356-2837 [FAX]
**************
Please make your own reservations at the Hyatt Regency Bethesda by April 6, 2007.
Call (301) 657-1234.   Ask for ANDP rates.