MISSISSIPPI ACADEMY OF SCIENCES ABSTRACT FORM/MEMBERSHIP FORM

ABSTRACT INFORMATION
Abstract title_______________________________________________________________
Name of presenting author(s) ____________________ Telephone______________Email________________
Name of Academy member ________________(One author must be a current member of the MAS; 1999 membership dues must be paid.)
Check the division in which you are presenting
___ Ag. and Plant Sci.  ___ Cell., Mol. and Dev. Biology  ___ Chem. and Chem. Eng. ___ Geology and Geography 
___ Health Sciences  ___ History and Philos. of Sci. __ Math., Computer Sci., and Statistics ___ Marine and Atmos. Sci.
___ Physics and Engineering  ___ Psych. and Behav. Neurosci. ___ Science Education ___ Social Sciences
___ Zoo. and Entomology

Type of presentation
___ Poster presentation     ___ Workshop
___ Lecture presentation   ___ Invited symposium
If the presenting author for this paper is also presenting in another division, please list the other division: _______________________________
 Audio-visual equipment needs
___2" x 2" slide projector
___Overhead projector
Other audio-visual equipment including computers and computer projection equipment must be provided by the speaker.

MEMBERSHIP INFORMATION
New ___ Renewal ___
Mr. Ms Dr. ________________________________________________________
Address __________________________________________________________
City, State, Zip _____________________________________________________
School or Firm _____________________________________________________
Telephone ___________________ Email address __________________________
PLEASE INDICATE DIVISION WITH WHICH YOU WISH TO BE AFFILIATED___________________________________________
Regular membership $ 25   Educational $ 150        Corporate Patron $ 1000
Student $ 5                         Corporate Donor $ 500  Life $ 250

CHECKLIST
The following MUST be DONE:
___1.Enclose copy of abstract (even if abstract has been submitted electronically)
___2.Complete and enclose abstract form /membership form(this form)
___3.Enclose the following payments (make check payable to Mississippi Academy of Sciences):
    ___$25 per abstract AND
    ___$25 regular membership fee OR ___$5 student membership fee (2000 membership must be paid for abstract to be accepted)
___4.You must supply a check #______ or P.O. #_______ (credit cards are not accepted)
In addition you MAY preregister at this time:
___Enclose the following payments:
   ___$12 regular member (Preregistration before Feb. 1, 2000)
   ___$5 student member (Preregistration before Feb. 1, 2000)

NOTE: Late abstracts will be accepted with a $10 late fee and only if there is room in the appropriate division. They will be published in the April issue of the MAS JOURNAL.