Kansas Academy of Science

On-line Meeting Registration

Where: Fort Hays State University Campus
When: 7-8 April 2017
Deadline: 27 March 2017


Please complete the following form, and then click 'Proceed':
Registrant First Name:
Last Name:
Affiliation:
Address:
City:
State:
Zip
Phone Number:
Email Address:
Confirm Email:

Session Chair and Student Judge:
I am interested in chairing a session in:
I am interested in judging a student presentation in:

Registration Options:
Regular Registration: @ $60.00
Student Registration: @ $30.00
Regular Friday Banquet: @ $20.00
Student Friday Banquet: @ $15.00
Regular Saturday Luncheon: @ $16.00
Student Saturday Luncheon: @ $10.00

KAS Membership Options:
Regular: @ $35.00
Student: @ $17.50
Family: @ $52.00
Amount to be charged:
$ 0