REGISTRATION FORM FOR THE TWENTY-THIRD ASP MEETING
                                 Boulder, Colorado
                                June 21 - 24, 2000

Name (as it will appear on name tag) ___________________________________________________

Short name, also to appear on name tag (e.g. "Sue"; "Bill") ____________________________

Address ________________________________________________________________________________

________________________________________________________________________________________

Affiliation for name tag? ______________________________________

Telephone(   )_______________  FAX(   )_______________  E-mail _________________________

                  Registration Fee Schedule (fees are not refundable)
	     SPECIAL NOTE: Registration includes Continental Breakfasts,
			 Lunches, Receptions, and the Banquet

   Membership status (check one):                   before DEC 15 / after DEC 15

   ____ Regular member                                    $190.00 / $250.00

   ____ Student member*                                   $120.00 / $135.00
        *must be a currently paid up student member of ASP
          signature of faculty advisor _______________________________

   ____ Non-member                                        $250.00 / $290.00

   ____ Guest (attends social events only)**              $100.00 / $125.00

        **Guests and students, see guest registration form for more information

ASP T-SHIRT $16 EACH  ____Small  ____Medium  ____Large  ____X-Large  ____XX-Large

REGISTRATION PAYMENT OPTIONS:  CHOOSE ONE
	- Check or money order (make checks payable to ASP)
	- Electronic registration through website: You must include receipt with
	  registration
	- Credit card

AMOUNT ENCLOSED:
REG.FEE $_________  +  guest(s) $_________  + T-Shirt(s) $_________ =  $_____________


Credit Card Payers only:
     Voluntary contribution to cover credit card processing fee (3.5%)  $_____________
	 
                                                  Total to put on card: $_____________
												  
     ___Visa   ___Mastercard   Card number:________________________ Exp. date:________
	 
Authorizing Signature: _______________________________________________________________

CHOOSE ALL THAT APPLY:	____I am interested in visiting Denver Zoological Garden
						____I am interested in a casual hike
						____I am interested in a moderate hike

Are you submitting an abstract as presenting/senior author?  ___no  ___yes
     
(title____________________________________________________________________________)

	If yes: mail abstract, this form, and registration fee to:
		Dr. Mollie Bloomsmith, Zoo Atlanta, 800 Cherokee Ave SE, Atlanta GA 30315 USA
		POSTMARK DEADLINE: DECEMBER 15, 1999.

	If No: mail this form and registration fee to:
		Dr. Steve Schapiro, Dept. Veterinary Sciences, UTMDACC, 650 Cool Water Dr.
		Bastrop, TX 78602-9733 USA