ACUMS - Conference Registration Form

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CONFERENCE REGISTRATION FORM

Rochester Institute of Technology
Fall Conference

Rochester, NY
November 2-5, 2010

Note: This form has not been updated for the conference. Please check back later.

First Name: *
Last Name: *

Position / Title:

Institution: *

Address 1:

Address 2:

City: State: Zip:

Phone Number:

Fax Number:

E-Mail: *

Mail Services Website:

Registration Fee:

Conference Registration: $135

Are you a Member? (+$35 for non-members)
Yes    No

Is this your first ACUMS conference?
Yes    No

Are you bringing a guest?
Yes    No

     Guest's Name (if applicable):

Guest Meal Package:

Guest meal preference (if applicable):
   None
   Banquet Only (+45)
   Full Meal Package (+$60, 2-lunch, banquet)

The Awards Banquet will be a buffet.

Total Due: $

* Required Fields