Ohio Branch ASM

Meeting Registration Information

First name
Middle Initial
Last Name
Affiliation
Department
Street Address
City
State
Zip Code
Phone Number
E-mail Address
National ASM Membership Number Division

* Restaurants are nearby for lunch on your own if that's your preference

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Presentation Information

Would you like to give a presentation?
	Yes	No
Select the topic area that best corresponds to the research you will discuss in your poster/presentation:
	Applied/Environmental Microbiology
	Molecular Microbiology
	Clinical Microbiology
	General Microbiology

Would you like to enter your presentation for judging in the student competition?
	Yes	No

Would you like be considered for a podium presentation?
	Yes	No

Everyone, including graduate and undergraduate students, is eligible to give a presentation.
All presentations will be posters unless you indicate otherwise, and are selected by the meeting organizers to give a podium presentation.
In either case, you will be informed no later than Tuesday, March 18, which type of presentation you have been selected to give.

Poster Board Dimensions:

Title of Presentation:

Author(s) and Affiliations (indicate presenting author with *)

• First
  • Name
  • Affiliation
• Second
  • Name
  • Affiliation
• Third
  • Name
  • Affiliation
• Fourth
  • Name
  • Affiliation
    

Abstract (250 words or less)

• Use the ASM Style Manual or the instructions to authors of any ASM journal as a guide for preparing the text of your abstract.
• Carefully review your abstract. The text of the abstract will be printed in the program as received.

Comments?

When you have submitted your registration information:

• A browser reply page will let you know that we have received your registration information.
• You will also receive an email (at the email address entered above) that will tell you where to send your check (as well as the amount to be remitted).