The 1996 Albany Conference:
Frontiers of Mitochondrial Research

September 19-22, 1996 Rensselaerville, New York

Application Form

Name:_____________________________________________________________

Address:___________________________________________________________

Phone number:_______________________Fax number:______________________

Email address:_______________________________________________________

[ ] I would like to register for the meeting. I would like to participate in the topic area:

[ ] (optional at this time) The title of my poster is:

[ ] (optional at this time) My poster abstract is included.

Send this form to: Carmen Mannella, Co-chair
Organizing and Program Committees
Email address: carmen@wadsworth.org
Fax: 518-486-4901; Phone: 518-474-2462
Mailing address: Wadsworth Center
Empire State Plaza
Albany, NY, 12201-0509, USA

Deadline for receipt of registration form and abstracts: August 15, 1996