/ REGISTRATION FORM
Spring Meeting: March 17-18, 2015
Professional Development: March 14-16, 2015
Dress: BusinessCasual / FAX or EMAIL
Completed Form to:
SCHC: 703/658-9247

MEETINGHilton San Francisco Financial DistrictPhone: 415.433.6600
LOCATION750 Kearny Street, San Francisco, CA 94108
Conf Rate: $199/night // Cutoff Date: 02/20/15Fax: 415.765.7891
Reference SCHC for Conference Rate

Only one (1) name per registration. Photocopy this form if you need to register for more than one person.

Name: / Title:
Affiliation (Company):
Address (Line 1):
Address (Line 2):
City: / State: / Zip: / Country:
Phone: / Email
Fax: / Web:

MEETING REGISTRATION

DEADLINE: February 20, 2015. No refunds after this date.

Reception / Poster Show – March 17 (included with meeting registration)..

Board meeting Monday, March 16, 1-5p......

/ Meeting Fee *SCHCMember $180.00
Non-Member SCHC ($230.00)$

Reception / Poster Session...... $n/c

Board Meeting Email to RSVP

PROFESSIONAL DEVELOPMENT COURSE REGISTRATION (ADDITIONAL CHARGE APPLIES) Attendance is limited. Register online at

DEADLINE: Course payment must be received by February 20, 2015 or your course reservation may be given to another.
CANCELATION POLICY: No refunds after February 20, 2015.
Sat., 03/14
through
Sun., 03/15 / Globally Harmonized System for Classification Labeling of Chemicals (GHS) -
3/14, 8:00a-5:00p through 3/15, 8:00a-5:00p / *Member ($750.00)
Non-Member ($840.00) /
$
Sat., 03/14
through
Sun., 03/15 / Hazard Communication for the European Union - GHS and Beyond
3/22, 8:30a-5:00p through 3/23, 8:30a-5:00p / *Member ($750.00)
Non-Member ($840.00) /
$
Sun., 03/15 / Ecotoxicology for Hazard Communication
3/15, 8:00a – 5:00p / *Member ($400.00)
Non-Member ($490.00) /
$
Mon., 03/16 / Hazard Communication for Asia, the Pacific Rim, and Latin America
3/16, 8:00a-5:00p / *Member ($400.00)
Non-Member ($490.00) /
$
Mon., 03/16 / International Chemical Control Laws -
3/16, 8:00a-5:00p / *Member ($400.00)
Non-Member ($490.00) /
$
Mon., 03/16 / Advanced Topicsin EHS: Clinical Toxicology-
3/16, 8:00p-12:00p / *Member ($250.00)
Non-Member ($340.00) /
$
Mon., 03/16 / Advanced Topicsin EHS: REACH e-SDS -
3/16, 1:00a-5:00p / *Member ($250.00)
Non-Member ($340.00) /
$

*If you are applying and paying for membership at the time of registration, you may pay the SCHC member price.

Make Check Payable to SCHC (Fed. I.D. #52-126 0336)
Return Payment and Completed Form To:
Society For Chemical Hazard CommunicationPHONE: 703/658-9246
P.O. Box 1392FAX: 703/658-9247
Annandale, VA 22003-9392E-MAIL: / ADD MEMBERSHIP DUES:
($90 for the calendar year)$ TOTAL FEES PAID:$

Credit Card Processing Form

Type of Card: American ExpressMasterCardVisa

If payment is for someone other than the credit card holder, please identify to whom this payment is to be applied:
Amount: $
Card No. / Expiration:
3- or 4-digit code on back of card
Name as it appears on the Credit Card:
Billing street address
CityStateZip CodeCOUNTRY
Telephone:

Cardholder agrees to be bound by the terms of SCHC’s payment and refund policies as stated on its brochures and meeting registration form. Cardholder agrees to be responsible for payment of fees if cancellations are made after the cancellation deadline. Membership Dues are for individuals for one calendar year and are non-transferable and non-refundable.

DATE:

Cardholder Signature

A receipt will be emailed to the registrant at the email on record. If you wish an additional receipt to be sent to the cardholder please include the email address here: