2008 PRE-REGISTRATION FORM
Please print this form, fill
it out, and Send it with payment to Dr. Robert P. Ellis
(Must be postmarked by November 18 for pre-registration -
will close November 19)
The Annual CRWAD Meeting will be held December 7- 9, 2008 at the Chicago Marriott, Downtown Magnificent Mile, Chicago, Illinois. Presentations will conclude by 1 pm Tuesday afternoon, December 9. The attendance is limited to CRWAD members, participants on the program and guests invited by the Council.
Please type or print the following information:
Name:_____________________________________________________________________________
Affiliation:__________________________________________________________________________
Department: ________________________________________________________________________
Address:___________________________________________________________________________
City:________________________________
State:________ Zip/Country:_______________________
Phone:_______________________________________Fax:__________________________________
E-mail: (type or print)__________________________________________________________________
Emergency Contact:_____________________________________Phone:________________________
Please note: You are not a member until you have applied for membership and the Council has granted membership. Non-members must register as either a guest or a student.
| Member Meeting Registration (not for student member): $80 | ________________ |
| Member: 2008 Dues $70.00 (Dues-do not cover registration) | ________________ |
| Unpaid Dues $70.00 per past year | ________________ |
| Student/CRWAD Student Member(Must be a full time student) $50.00 ( includes Proceedings) | ________________ |
| Guest $200.00 - price includes Proceedings | ________________ |
| Additional Proceedings $20.00 | ________________ |
Total Amount Enclosed (US funds only): |
________________ |
Make check payable to CRWAD. Send
payment to Dr. Robert P. Ellis, CRWAD, Dept. of MIP, Colorado State University,
Fort Collins, CO 80523-1682.
Payment by wire transfer is available upon request. MasterCard,
VISA, American Express, and Discover Credit cards are accepted. Credit
Card information below .
REFUND POLICY: Registration fee full refund,
less $20, if requested within 35 days of annual meeting; 50% refund from
34 - 15 days before annual meeting; no refund if requested 14 days or
less before annual meeting.
Meeting Registration Schedule
Presenters and attendees will be required to wear their CRWAD
name badge for admittance to the meeting rooms and poster sessions.
Presenters will be required to wear their CRWAD name badge during
their presentations.
Place your hotel sleeping room reservation at the Chicago Marriott, 1-800-228-9290. Make your reservations at the Hotel by November 1. Indicate CRWAD affiliation to insure obtaining a room at the proper rate.
For those who need a US Visa in order to attend the CRWAD meeting please start your application process early.
Proceedings: If you want to purchase additional 2008 Proceedings after the meeting please contact us.
If you would like to present at the Annual CRWAD Meeting or would like an invitation to the meeting please contact Dr. Ellis.
CREDIT CARD INFORMATION:
If you would like to make payment by credit
card please complete the following information.
Only MasterCard, VISA, American Express, and Discover
credit cards are accepted.
Credit Card Number ________________________________________
Expiration Date __________
Verification No. (This is the 3 digit number - it
may follow a 4 digit number - which appears on the signature strip on
the back of the card) ______
Name on the card _______________________________________
Street Address _________________________________________
Zip Code _______________
Type of credit card (VISA, MasterCard, American Express, or Discover)
_______________
Signature ________________________________________________