SALIS Conference Registration Form - 2012

Online Registration & Payment with Credit Card on PayPal.com (if paying by check, use print form) Step 1: Fill in your information (as you would like it to appear in the attendee list).
Name
Name on Credit Card (if different from attendee)
Email
Title
Organization
Address
City
State
Postal Code
Country
Phone
Fax
Web URL

Registration Fees:

Fee for the full conference includes the opening reception on Tuesday, May 22, luncheon on Wednesday, May 23,
plus continental breakfast and coffee breaks each day.

SALIS Member (in 2012), $275 ($325 after April 21)

Non-member, $325 ($375 after April 21)

Student, Retiree, Unemployed: $225 ($250 after April 21)

Single day, $110 ($135 after April 21); Check day you will attend: Wednesday Thursday Friday

Please help with our planning by answering the following:

Is this your first SALIS Conference? Yes No

Are you one of the speakers at this conference? Yes No

Do you plan to attend the Opening Reception on Tuesday evening? Yes No

Do you plan to attend the luncheon on May 23 (included in fee)? Yes No

Please indicate special dietary needs:

Email SALIS Home | Return to 2012 Conference page