Conference Registration Fee for members $70 ______
Conference Registration Fee for NON-members $125 ______
Conference Package for MEMBERS (fee +meals)$150 ______
Student fee $15
______
Friday lunch $25 per person. Persons___ Total ______
If vegetarian option check here ___
Friday banquet $35 per person Persons___ Total ______
If vegetarian option check here ___
Saturday lunch $25 per person Persons___ Total ______
If vegetarian option, check here ___
Total Fees ______
Name (for badge) ___________________________
Institution (for badge) ________________________
e-mail address _____________________________
Address ________________________
________________________
________________________
Enclose check in U.S. dollars or pay by credit card. Only MasterCard/Eurocard
or Visa are accepted.
Credit Card Number ______________________________
Expiration Date on card ____________
I authorize the credit card to be charged (sign here):
_____________________________