ACUMS - Conference Registration Form

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CONFERENCE REGISTRATION FORM

Dartmouth

Dartmouth College, Hanover, NH
Fall Conference
October 24-26, 2011

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:

Full conference, Print & Mail (Oct 24-26) - $175 base
Mail sessions only (Oct 25-26) - $150 base
Print sessions only (Oct 24) - $40 base

Base rate is for current ACUMS members, non-member prices will include a $35 membership fee.

Are you currently an ACUMS 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):
Full Meal Package (+$70)
Banquet Only (+$50)
None


The Awards Banquet will be a buffet.

Total Due: $

* Required Fields