ACCIAC 2008: Register



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Please contact your university’s ACC-IAC representative to obtain sponsorship prior to registration.

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Required questions are marked with an (*).

ACC-IAC International Conference Regular Registration (cost: $210.00)

Salutation

* First Name (You must type in a response)

* Last Name (You must type in a response)

* E-mail Address (You must enter a valid e-mail address)

Name As It Should Appear On Name Tag

* Telephone Number (You must type in a response)

Optional Telephone Number
(Best contact telephone number during conference)

* Street Address (You must type in a response)

Street Address Line 2

* City (You must type in a response)

* State or Region (You must type in a response)

* Country (You must type in a response)

Postal Code

* Institution (You must select a response)

Role/Title

Other Role/Title

Dietary Restrictions

	Kosher
	Vegetarian

Upon completion of registration, a receipt will be generated and emailed to you for your records. Your Institution will be directly billed the conference registration fee of $160 by the ACC-IAC 2008 Conference Committee. If you have questions or need further assistance, contact the University of Miami, Office of the Provost at provost@miami.edu.

I HAVE DISCUSSED MY PARTICIPATION IN THE CONFERENCE WITH MY UNIVERSITY ACC-IAC REPRESENTATIVE

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