Instructions
To submit your registration, you may either submit from this page, or fill out the PDF form linked below:
Download Registration Form (PDF)
[You will need a PDF reader such as
Adobe Reader
in order to open the form]
Mail, Fax, or Email the filled out form to Christine Mall(contact information below).
The deadline for registration is November 4th, 2009.
PLEASE REGISTER EARLY.
Contact Information
First Name
M.I.
Last Name
Degree
Institution
Street Address Line 1
Street Address Line 2
City
State
Zip / Postal Code
Phone
Fax
Email (required)
Registration
Wednesday - Friday
(Symposium sessions / events / meals)
Regular - $590
($625 after Oct. 23, 2009)
Student/Postdoctoral Fellow - $500
(* Documentation required. Include letter verifying student/fellow status with registration form)
Corporate - $750
Spouse or Guest
(Please contact program coordinator)
Thursday only
, symposium sessions and meals, including Winery Dinner (Please contact program coordinator)
Friday only
, symposium sessions and meals (Please contact program coordinator)
Registration Payment By:
Check
University of California Charge ID :
Housing
Important: Please do not contact the facility directly for hotel reservations!
In order to ensure the following room rates, select a room type below.
In the event that your selection is no longer available, we will contact you with an alternate choice.
* Any changes to room reservations requested after November 4th, 2009 that include cancellation or reduction of stay will forfeit full room and tax.
Rooms (All are non-smoking)
Fairmont King - $195
Fairmont Double (shared rate)
Mission Suite - $245
Wine Country Jr. Suite - $245
Nights
Wed.-Sat., Nov. 18-21 (3 nights)
Wed.-Fri., Nov. 18-20 (2 nights)
Wed.-Thurs., Nov. 18-19 (1 night)
Thursday Only, Nov. 19 (1 night)
By selecting a room type and indicating the length of your stay, you agree to provide payment to the Sonoma Mission Inn at registration.
If you are unable to keep this registration or wish to make a change, please contact the program coordinator immediately.
Room rates listed above are per night, and do not include applicable tax.
Please indicate any guests' name below:
Please specify if you have any special needs:
You may fax the PDF form (Attn: Christine Mall) to (530)754-4286 or submit this form electronically.
Please address questions about the Symposium or this form to Christine Mall (
cimall@ucdavis.edu
).
Send check or money order (payable to UC Regents) to:
Program Coordinator
Gene Therapy Symposium Registration
California National Primate Research Center
Pedrick and Hutchison Roads
Davis, CA 95616
Submit Registration