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—— Advance Registration Form ——

2010 Annual Council Meeting
Association of College Honor Societies

Hyatt Regency Boston
 One Avenue de Lafayette, Boston, MA 02111 - 617.912.1234
February, 18-21, 2010

Early Bird Registration Fee – on or before December 15

@ $395.00

Registration Fee – on or after December 16

@ $445.00

Registration Fee (Spouse/Partner)

@ $275.00

Registration Fee (Non-Member)

@ $445.00

Registration Fee (Vendor Sponsor)

@ $275.00
Extra Banquet Tickets

@ $65.00

Discounted Student Banquet Tickets

@ $35.00
Exhibit Booth

@ $600.00

Exhibit Booth Personnel (beyond two)

@ $225.00

Registration Fee includes Sessions, Beverage Breaks, and Meals


 

Society or Organization Name:

Attendee 1 Name: Attendee 2 Name:

Preferred Name for Name Tag:

Preferred Name for Name Tag:

Address:

Address:

Address:

Address:

City, State, ZIP Code:

City, State, ZIP Code:

Tel. No. (office)

Tel. No. (office)
Email: Email:
Arrival Date: Arrival Date:
Departure Date: Departure Date:
Attend Friday banquet?

Yes          No

Attend Friday banquet?

Yes         No

PAYMENT OPTIONS, please select: I wish to register and pay online                 I wish to print and mail the registration form
Online payments may be made by Visa, Mastercard, American Express, Discover or Paypal. Mail-in registration is by CHECK or MONEY ORDER only.

Please file registration form by January 31, 2010

Association of College Honor Societies, 4990 Northwind Drive, Suite 140, East Lansing, MI 48823-5031
Telephone: (517) 351-8335 — Facsimile: (517) 351-8336 — E-Mail: dmitstifer@achsnatl.org

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