2002 ASA INDIVIDUAL CONFERENCE REGISTRATION FORM (Please read instructions!)

Your registration form and payment must be postmarked on or before February 25, 2002. Conference registration includes: (1) the 2002 ASA membership fee and (2) fees entitling participation in all 2002 conference activities, including meals (Friday banquet & Saturday luncheon) served at the conference center. Only pre-paid registrants may attend the meals. Late/on-site registration fee is $105 / students $50. For persons who have registered and then find themselves unable to participate, refunds will be given if you notify the ASA office in Huntington (see address below) before February 25. No conference fees can be refunded after February 25, 2002.

Please print legibly or type your name and address the way you wish it to appear on a mailing label.
Name:
 ______________________________________________________________
Institution/Organization:
 ______________________________________________________________
Address:
 ______________________________________________________________

______________________________________________________________

Phone:
 (w)____________________(H)___________________(FAX)______________________
E-mail:
 ______________________________________________________________
Add up your fee:
 _____ $100 regular pre-paid registration
_____ $45 full-time student pre-paid registration

    __________________________________signature of advisor/dept. head

_____ $18 extra Friday night Banquet ticket
_____ $12 extra ASA Saturday Luncheon ticket

_____ $25 suggested ASA Development fund contribution.

    -Helps the ASA Development Committee initiate long term financial support for the Association

For those not attending the conference, please renew your membership:
 _____ $30 ASA 2002 regular membership
_____ $15 ASA 2002 student membership ____________________________ signature of
advisor/dept. head
Amount Enclosed:
 $ _______ TOTAL ENCLOSED (make checks payable to: Appalachian Studies Association)
_____ Check here to have a RECEIPT included in your conference packet.
Check here if you desire a vegetarian meal at the _______Friday banquet; at the ________Saturday luncheon.

MAIL TO: Appalachian Studies Association, Marshall University, One John Marshall Drive, Huntington, WV 25755.

Phone: 304-696-2904; E-mail: asa@marshall.edu; DON'T DELAY.... MAIL TODAY!

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