LDF Int'l Conf Info for net 3/1/98

11th INTERNATIONAL SCIENTIFIC CONFERENCE ON LYME DISEASE AND OTHER TICK-BORNE &
SPIROCHETAL DISORDERS

 with emphasis on Clinical Management

April 25th (Sat) & 26th (Sun), 1998   Reception Sat night 6-8pm
7:30am  sign-in   8am - 5 pm program each day

PROGRAM COMMITTEE

James N. Miller, PhD
Professor-on-Recall, UCLA School of Medicine

Sam T. Donta, MD
Infectious Diseases, Boston University

Edward Bosler, PhD
Research Scientist, Stonybrook School of Medicine

Charles S. Pavia, PhD  
New York Medical College

KEYNOTE
Willy Burgdorfer, PhD, MD(Hon)
Scientists Emeritus, National Institutes of Health

Registration Form

Place: The Equitable Conference Center,  787 Seventh Ave (51st & 52nd),  NY
City

Hotel:  Sheraton Manhattan  212-581-3300*, Sheraton NY 212-581-1000*    *(ask
for a weekend rate)

Travel:  Huntington Hay Travel   800-783-9783  

__MD  __DO   __DVM   __PhD   __DDS  __MPH
__RPh  __RN   __Mr        __Mrs    __Ms     other___

Last Name:                                                                    
First name
Title/position
Institution
Address
City                                                  State                    
 Zip
phone                                fax                                      
        e-mail

Fee includes: attendance at scientific sessions, refreshments, book of
proceedings, and the reception.
__$275 (by 4/2)    __$325 (4/2- 4/23)     __$350 (after 4/23)
__$130    Full-time Graduate/Post-Doct{*filter*}Students
__$  50   Fee for CMEs
__$160   Poster presenters      
__$  60   Reception only  (non-registrants)
______  Total Amount Enclosed

Payment Method - Payment must accompany registration. Make checks payable to
the Lyme Disease Foundation.  US funds only.

For Credit Card Charges
    ___Master Card      __Visa        __American Express
Card  
Expiration date_____/_____
Card Number:
Cardholders signature:

Written notice of cancellation must be received no later than 4/2/98 for a
refund

Mail, e-mail, or fax registration to:

           Lyme Disease Foundation, One Financial Plaza, Hartford, CT 06103

Lyme Disease Foundation, Inc.        www.lyme.org
1 Financial Plz                                 Member Medical Research
Agencies of America
Hartford, CT 06103                      and Combined Health Appeal of CT.
860-525-2000                            CFC #1724