NOTE: This form cannot be completed online. Please print, fill out and mail to the address listed at the bottom of the form. Thank you!
Registration Information:
Please check a box below to register:
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Yes, I want to attend the Conference: Enclosed is my $35.00 Pre-Registration fee, (postmarked by Friday, October 24, 2008), which includes lunch and membership. |
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$20.00 Pre-Registration for Students & Seniors (65+) |
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$20.00 for Vendors and Exhibitors (no membership included) |
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I cannot attend the Conference, but I want to join ATN. Enclosed is my $15.00 (Membership Only) check. |
Please make all checks payable to “Radford University – ATN”
*Please note - $5.00 additional for on site registration (no lunch guarantee)
Please Carpool! Parking is limited at Selu so we ask that you would ride together if possible.
Attendees qualify for re-licensure points.
ATN is a membership-based organization, so we need your financial support.
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Are you an AASIS Mentor or Teacher? |
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Send to:
Kerri Huff, ATN
Box 7014, Appalachian Regional Studies Center
Radford University
Radford, VA 24142
Call (540) 831-5366 or FAX (540) 831-5951
Email: khuff@radford.edu
Visit our Website: www.radford.edu/arsc