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Meeting Registration Form

MidSouth ASA Chapter Meeting - March 12-13, 2010
The University of Central Arkansas
Conway, AR

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 a student but 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 in Conway, AR may be found here.
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