Name:______________________________________________________________________
Address:____________________________________________________________________
City:__________________________________ State/province:________________________
ZIP/postal code__________________________
Country:____________________________________________________________________
University or Company Affiliation______________________________________________
Phone: Day (_____)____________________ Evening (_____)________________________
Email:_____________________________________ Spouse attending: Yes____ No_____
PawPaw Foundation (PPF) Member: Yes______ No_______
Name you would like on name tag: ___________________________________________
Spouses name on tag, if attending:___________________________________________
| Fees per person: | PPF Member | Non-Member |
| Registration (including Seelbach dinner) | $135.00 | $150.00 |
| Spouse or companion full registration | $135.00 | $140.00 |
| Spouse to attend Seelbach dinner only | $40.00 | $40.00 |
| Spouse bus transport to and from Seelbach | $15.00 | $15.00 |
| Total tendered: |
Pre-Registration is required before the meeting and must be paid by August 1, 2001. Mail this form and check made payable to The PawPaw Foundation (do not send cash) to: Ms. Snake Jones/Conference Registration, Atwood Research Facility, Kentucky State University, Frankfort, KY 40601
The registration fee covers: abstract book, a copy of the resulting conference proceedings, transportation between Frankfort, Kentucky and the Seelbach Hilton in Louisville, Kentucky, coffee breaks, and lunch and dinner on September 21 and 22, 2001. Call Dr. Kirk Pomper: 502-597-6174 if you have questions. There are 80 rooms ($66 per night) being held at the Holiday Inn-Capital Plaza in Frankfort until August 21, 2001 for the conference. You must call the Holiday Inn (502-227-5100) and make your own reservations on your own credit card before this date. Information on other Frankfort accommodations is available at www.frankfortky.org/