DEADLINE FOR RECEIPT OF ADVANCE REGISTRATION IS 6/12/2015
19th Annual Green Chemistry & Engineering Conference
July 14-16, 2015
Bethesda North Marriott Hotel - North Bethesda, MD
http://gcande.org
Name (Last, First):
Company/University:
Street Address:
City, State, Zip:
Phone:
Fax:
Email:
Academia 
Industry 
Government  Student 
Other ___________________
Is this your first Green Chemistry & Engineering Conference Yes No
Are you a Speaker or Poster presenter? YesNo (All speakers and poster presenters must register in the appropriate registration category.)
Please note: An attendee list will be provided to all registered attendees after the conference with your name, affiliation/company, address, phone number and e-mail
address. Please provide your business information. To opt out of having your information provided, please check here: 
Yes, subscribe me to The Nexus – A monthly newsletter published by ACS Green Chemistry Institute® dedicated to connecting and
expanding the global green chemistry and engineering community.
 Yes, I would like an invitation to attend the Presidential Green Chemistry Challenge Awards Ceremony & Reception on Monday, July
13 at 4:00pm at the National Academy of Sciences. You will be sent an invitation if space permits. Transportation not provided.
Registration
Full Conference Registration
One-Day Registration Day: T / W / TH
Student Registration*
50-year ACS Member
Guest Registration**
Guest Name(s):
circle choice
Advanced Rate
Jan. 15 – June 12, 2015
$550
$295
$200
$200
$20 ea.
Standard Rate
Begins June 13, 2015
$650
$345
$225
$225
$20 ea.
* Student registration applies to registered undergraduate, graduate and post-doctoral students (Student ID reqd)
** Guests may not be involved in the green chemistry or green engineering industry
Ticketed Events
Tuesday, July 14 - Continental Breakfast
Tuesday, July 14 - Networking Luncheon
Tuesday, July 14 - Welcome Reception
Wednesday, July 15 - Continental Breakfast
Wednesday, July 15 – Networking Luncheon
Thursday, July 16 - Continental Breakfast
Thursday, July 16 – Networking Luncheon







Registrant
Free
Free
Free
Free
Free
Free
Free
Guest
$25 ea.
$35 ea.
$25 ea.
$25 ea.
$35 ea.
$25 ea.
$35 ea.
WORKSHOPS
 Student Workshop:
FREE for students registered for
the full conference. You must
pre-register to attend.
Mon, July 13 8:00AM-5:00PM

Business Plan Competition:
FREE You must be preregistered and complete the plan
package by June 12, 2015.
Wed, July 15 10:00AM-5:00PM
Career Workshop:
FREE You must register on-site
by noon Wed July 15 to attend.
Wed, July 15 6:00pm-10:00PM

All registrations must be prepaid by check or credit card in order to be processed. Please submit a separate registration form for each registrant.
Return completed form to: ACS, Attn: GC&E2014, PO Box 3337, Columbus, OH 43210-3337 or FAX 614- 447-3671. For questions, call 800-333-9511 or 614-447-3776.
HOUSING RESERVATIONS: The ACS Green Chemistry Institute® has negotiated a special rate of $199 (plus taxes) for conference attendees at the Bethesda North Marriott Hotel &
Conference Center, 5701 Marinelli Road, Rockville, MD 20852. To make a reservation at this rate, call 877-212-5752 or 301-822-9200 and mention the Green Chemistry & Engineering
Conference or visit https://resweb.passkey.com/go/21ffc122
STUDENT HOUSING: Visit the student page at www.gcande.org/students for information on local housing options.
CANCELLATION/REFUND POLICY: Registration cancellation requests must be received in writing on or before July 3, 2015 to qualify for a refund. A $50 administrative fee will be deducted
for all approved cancellations received on or before June 3, 2014. Approved refunds will be processed after the conference. Refunds will not be approved for downgrading from one registration
category to another. No refunds will be given after July 3, 2015. Email refund requests to [email protected]
If you require special services or assistance please e-mail [email protected]
A complete list of registration policies can be found at http://www.gcande.org/registration
TOTAL FEES:
Registration
$_____
Ticketed Events $_____
Paid by:  American Express  MasterCard  Visa  Discover  Check (payable to American Chemical Society)
EXP.
DATE
Cardholder Name (please print): _____________________________________________________
TOTAL AMOUNT ENCLOSED
$_____
Signature: ________________________________________________________________________
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Green Chemistry & Engineering Conference