ASA Pacific Division Meeting
Mail-In Registration Form

Secure on-line registration is available, however you may also print out and mail this registration form, enclosing either (1) a cheque drawn in US dollars on a US bank or (2) a US dollar money order. Note that cheques and money orders must be in US dollars. To pay by credit card you must register on-line.

The deadline for receipt of mail-in registrations is February 24. On-line registration with lodging will be available until February 24. On-line registration without lodging and without a copy of the proceedings will be available until March 17. On-site lodging is available on a first-come-first-served basis. Room availability cannot be guaranteed. Nor can accommodations payments be refunded unless your room is taken by another participant.

Lodging with Registration

Non-Shared Room: 2 nights lodging, meals, conference registration, proceedings $470______
Shared Room (per person): 2 nights lodging, meals, conference registration, proceedings
Roommate: ___________________________________

Please assign roommate _______

Though we will make every effort to assign a roommate, we cannot guarantee that one may be found.

 $320______

Lodging Without Registration

Shared Room: 2 nights lodging, meals
Roommate: ___________________________________

$240______

Registration Only

Registration:
Late registrations will not receive proceedings.
$90______

Name:  ___________________________________________________
Address:  ___________________________________________________

 ___________________________________________________
Professional Affiliation:  ___________________________________________________
Work Phone:   ___________________________________________________
Home Phone:  ___________________________________________________
Email:  ___________________________________________________

Make cheques and money orders payable to the Program Chair and mail them to the program chair at the contact address.