Wufoo

Meeting Registration Form

MidSouth ASA Chapter Meeting - October 30-31, 2009
The National Center for Physical Acoustics
The University of Mississippi
Oxford, MS

This form is to be used for meeting registration. Please complete all fields and hit submit.

A $10 meeting registration fee (which doubles as chapter membership dues) is payable at the meeting. Student registration and membership is free.

Attendee's name: * First Last
This information will be on your meeting name tag.
Attendee's Company or Institution: *

This information will appear on your meeting name tag.
Attendee's Email Address: *

This information is to confirm your meeting registration.
Student Hotel Accommodation: *
I am a male student requesting a room. I am a female student requesting a room. I am not requesting a reserved room. I am not a student.

Hotel accommodations are the responsibility of meeting attendees, however, the chapter will provide five rooms for students. Depending on availability students may be asked to share a room. Please indicate your need for accommodation on your meeting registration form. Lodging options as well as a map of the Oxford area may be found here.
ElectroVoice Speakers *
Yes, I want to be entered to win the EV speakers! No, I do not want to be registered to win the EV speakers.

ElectroVoice in Morrilton, AR generously donated a pair of ZX1 speakers valued at $700 to be given away at this meeting! All registered meeting attendees are automatically entered to win the speakers. Attendance at the meeting is required to win.
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