Conference Registration / Membership Form: Advanced registration deadline is March 1. Make checks payable to "AASL".
Please print this page and send completed form with payment
to:
Margaret Culbertson, Treasurer, AASL
945 Bayland
Houston, TX 77009
Phone: (713) 743-2337 FAX: (713) 743-9748
Email: mculbertson@uh.edu
ANNUAL DUES (individual or institutional) | $10.00 |
CONFERENCE REGISTRATION FEE | $70.00 |
REDUCED STUDENT FEE | $25.00 |
LATE FEE (postmarked after 3/1 or onsite) | $10.00 |
TOTAL DOLLAR AMOUNT ENCLOSED | $__________ |
Please print:
Name:
Position:
Institution:
Business Address:
Business Phone:
FAX:
E-mail Address:
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