Name ________________________________________
Affiliation _____________________________________
Address ______________________________________
City _______________________ State ___ ZIP ______
Phone _______________ e-mail __________________
| ____ | Interface Foundation of North America (IFNA) Membership | $35 |
| ____ | Interface Registration (for IFNA Members) | $185 |
| ____ | Interface Registration (for Members of Cooperating Societies-see list below) | $200 |
| ____ | Interface Registration (for Full-time Students, ID required) | $100 |
| ____ | Interface Registration (all others) | $220 |
| ____ | Registration for a Single Day of Interface (No Banquet) | $120 |
| ____ | Full-Time Student Registration for a Single Day of Interface (ID Required, No Banquet) | $50 |
| ____ | Banquet (for Single Day Registrants or Guests) | $35 |
| ____ | Registration for Bioinformatics Day Only | $120 |
| ____ | Full-Time Student Registration for Bioinformatics Day Only (ID Required) | $50 |
| ____ | Late Fee (After May 1st) | $25 |
| ========================================================= | ||
| ____ | Data Mining Course (IFNA Member) | $150 |
| ____ | Data Mining Course (Non-IFNA Member) | $200 |
| ____ | Data Mining Course (Full-Time Student) | $40 |
| ____ | Bioinformatics Course (IFNA Member) | $150 |
| ____ | Bioinformatics Course (Non-IFNA Member) | $200 |
| ____ | Bioinformatics Course (Full-Time Student) | $40 |
| ____ | Both Courses (IFNA Member) | $200 |
| ____ | Both Courses (Non-IFNA Member) | $300 |
| ____ | Both Courses (Full-Time Student) | $50 |
| $_____ | TOTAL | $_____ |