American Society of Exercise Physiologists
CONFERENCE REGISTRATION
5th ASEP National Meeting
California State University - SacramentoTo register for the conference, please print this form, complete the requested material, and mail with a check for the appropriate amount to Dr. Tommy Boone at the ASEP National Office listed in the page footer.
Name: ________________________________________________________________ Mailing Address/email: ________________________________________________________________
________________________________________________________________
Are you an ASEP Member? Yes/No (please circle one)
Meeting Categories and Costs
Check the appropriate item and meeting cost
_____ Professional member............................$275
_____ Professional certified member ............$250
_____ Professional non-member.....................$300
_____ Student member .....................................$50
_____ Student non-member ..............................$75
Membership for 2003
_____ Professional.............................................$70
_____ Student......................................................$40
ASEP National Office, c/o Dr. Tommy Boone, Department of Exercise Physiology, The College of St. Scholastica, 1200 Kenwood Ave, Duluth, MN 55811. If additional information is needed, please contact the ASEP National Office via email (tboone2@css.edu) or phone (218-723-6297).