SSIB Annual Meeting Registration Form

Everyone who plans to attend the SSIB annual meeting is requested to register online using this form.  Online registration sends your contact information directly to the SSIB Central Office.  Registration insures that you will receive any updated information on the meeting including any updates to the program and reminders of important deadlines.  Please contact the Central Office if you have any questions.

NOTE:  Please complete and SUBMIT  the registration form before continuing to make your payment.  If you do not, you will not be registered.  Registration and making payments are two separate functions therefore you may register now and make your payment later if you wish.

INSTRUCTIONS:  

To register online:

  1. Input your contact information in the text boxes below.
  2. Click the "Submit Registration Form".
  3. Print your confirmation page.
  4. The confirmation page will contain instructions and links for payment.

Please provide the following contact information:

First Name
Middle Initial
Last Name
Title (Mr., Ms. or Dr.)
Department
Organization
Address
City
State
Postal Code
Country
Telephone
FAX
E-mail

Choose one of the following options:

Member
Student Member
NonMember
Student NonMember

I am presenting author on an abstract submitted for this meeting.       (Required Field)

I am an invited speaker (special symposia, etc.)      Yes      No    

I received information on the SSIB annual meeting from the following sources. 

Please check all that apply.

from a colleague
SSIB booth at SFN
Ingestive Behavior social at SFN
brochure from SSIB
SSIB website
Other



 
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                1998 Society for the Study of Ingestive Behavior. All rights reserved.