2008 Mid-Southeast ACM
Conference Registration Form
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| Name: | |
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| Affiliation: | |
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| Address: | |
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State: |
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Zip: |
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| Email: | |
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Advanced |
Late |
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| Professional* |
$95 |
$120 |
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| Student** |
$25 |
$25 |
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| Extra Luncheon |
$15 |
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| Extra Banquet | |
$29 |
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Total Amount: |
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* |
(Professional) Includes membership dues for year |
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** |
(Student) Does not include lunch or banquet. Each student presenter is invited to attend the banquet free of charge with a maximum limit of two free banquet tickets per presentation in those instances where there are more than two students per presentation. |
| PAYMENT MUST BE ENCLOSED. If a Federal Tax No. is needed, use ACM Federal Tax No. 13-1921358. Purchase orders or credit cards are not accepted. Make checks payable to: ACM Mid-Southeast Chapter | |
| Mail to: |
Bob Bradley |
.