Registration Form by Check

Mail In CRWAD Meeting Registration Form

Must be postmarked by November 11 for pre-registration
Pre-Registration Will Close November 11; On-site is Available

The Annual CRWAD Meeting will be held December 4 – 6, 2016 at the Chicago Marriott, Downtown Magnificent Mile, Chicago, Illinois.  Presentations will conclude by 1 pm Tuesday afternoon, December 6.

Meeting Registration Options:

1) Register by mail and send a check with your completed registration form. You may also print this form and email it to Dr. David Benfield.
Please print this form, fill it out, and send it with payment to Dr. David Benfield.
Make check payable to CRWAD. Send payment to Dr. David A. Benfield, CRWAD, 1680 Madison Avenue, Research Services Building Room 209e, Ohio State University, Wooster, OH 44691.
2) Register by credit card through PayPal (click here to pay by credit card)

Please type or print the following information:



Department of Affiliation: ________________________________________________________________

City:_________________________________ State:________ Zip/Country:_________________________


E–mail: (type or print)____________________________________________________________________

Please note: You are not a member until you have applied for membership and the Council has granted membership. Non-members must register as either a guest, or a post–doc, or a fulltime student.
*The abstracts are available on-line at the Meeting Planner and Itinerary Builder. You may also purchase a Proceedings Booklet.

Approved Member Registration: $140 (includes Program); Registration after November 11th $170.00
Member:  2016 Dues $70.00 (Dues do
not cover registration)
Unpaid Dues: $70.00 per past year ________________
Fulltime Student/CRWAD Student Member: $70.00 (includes Program)Student ID will be required when you pick up your name badge. ________________
Post–Doc or Resident: $90.00
(includes Program)
ID will be required when you pick up your name badge.
Guest and/or Member Applicant: $345.00 (includes Program); Registration after November 11th $375.00
Proceedings Booklet (includes Abstracts and Program): $35.00 at on–site
$40 if mailed to North America;
$50 if mailed to outside of North America
Total Amount Due (US funds only):

*REFUND POLICY: Registration fee full refund,less $50, if requested within 45 days of annual meeting; 50% refund from 44 – 22 days before annual meeting; no refund if requested 21 days or less before annual meeting.

Presenters and attendees will be required to wear their CRWAD name badge for admittance to the meeting rooms and poster sessions.
Presenters must be registered for the meeting and will be required to wear their CRWAD name badge during their presentations.

Please place your hotel sleeping room reservations
at the following custom web site: *Chicago Marriott (Downtown) Hotel custom CRWAD Room Reservations Web site; or, call (Toll–Free: 1–877–303–0104 ; or 1–866–596–7456 for international calls), by asking for the CRWAD group rate. Make your reservations at the Hotel by November 6.

For those who need a US Visa in order to attend the CRWAD meeting please start your application process early.

Proceedings: If you want to purchase a 2016 Proceedings please contact us. The on–line abstracts (searchable and printable) are accessible from the Meeting Planner and Itinerary Builder.

If you would like to present at the Annual CRWAD Meeting or would like an invitation to the meeting please contact Dr. David A. Benfield.