Eighth Annual Regional Biosciences Conference
Thursday & Friday March 29th & 30th, 2012
New Location: Biotechnology Advancement Center
1527 Prairie Drive, Worthington, MN

Registration Form
for Attendees of the Regional Bioscience Conference
Register by March 23, 2012 to receive the early bird registration rate of $125
(after March 23, 2012 the cost will be $150.)
bioconf@frontier.com
Person Attending
Company Name
Street   
Street 2
City   
State
Zip 
Phone Number
Email address

1.  Will you be attending the social at the Historic Dayton House?
Please choose one
  YES
  NO
2. Are you interested in being a corporate sponsor of the event?
   Please choose which sponsorship level below: WREDC will follow up to make final arrangements
 Please see sponsorship page [ click here]
    Conference Supporter Under $250
    Bronze                        $250
    Silver                          $500
    Gold                        $1,000
    Platinum                   $1,500
    Super Platinum         $2,000
    Designated               $2,500
    Premier                    $5,000
    No Thanks
3. Payment Method (Payment Must Be Made Prior to Attending the Conference)
Please choose one: Registration rate of $125, after March 23, 2012 the cost will be $150
  Free with My Sponsorship: (Please complete one for each attendee)
  Please Bill Me
  I have printed this Reservation Form and sent it in with my fees by USPS to the address below
  I will pay upon arrival
  I will pay with PayPal (Click on PayPal process below after submitting  this reservation )



Cancellation Policy:

Registrations may be cancelled, but you must provide at least a 72-hour notice in order to be eligible for a refund. A $10.00 cancellation fee will be charged for each cancellation to offset costs.

Registrations may also be transferred to another employee of your organization without incurring a fee. Please have substitutes indicate whom they are replacing when they arrive at the event. Handouts for registered events you are unable to attend will be sent to you upon your request to wredc@frontiernet.net.

 




Contact us for further information and schedule a visit!

Worthington Regional Economic Development Corporation
  1121 Third Avenue
  Worthington, MN 56187
  Phone: 507/372-5515  Fax: 507/ 372-7165
  Email: gred@frontiernet.net
  website: www.wgtn.net/wredc