ArtSci2001
REGISTRATION FORM

Pre-Registration Ends – OCTOBER 27, 2001

Pre-Registration (non-member) $75/day or $120/2-days
Pre-Registration (member)
(make sure your membership is current)
$50/day or $80/2-days
Pre-Registration (students/ &seniors)
Seniors are 65yrs. or over
Students must photocopy and send school photo ID
$30/day or $60/2-days
On-Site Registration (no discounts)
(Same registrations fees as after September 30, 2001)
$100/day or $170/2-days


Tickets for the Friday Keynote are $20 each
OR free with a full 2-day Registration.
($15 - students w/ID & seniors)


================ REGISTRATION FORM =================

Remember to copy/paste & EMAIL your Registration Form back to asci@asci.org
A printed Registration Form must accompany a check if paying via that mode.


NAME(s):

CORPORATE/ INSTITUTIONAL AFFILIATION:

ADDRESS:

PHONE:

EMAIL:

NUMBER OF PERSONS ATTENDING:

CIRCLE BELOW- day(s) you will be attending:
(select from categories above)

Saturday .... Sunday .... Friday Keynote .... ASCI Membership: New ( ) Renewal ( )

TOTAL AMOUNT ENCLOSED:
(include ASCI Membership Form & amount too if you're joining)

MAKE THE CHECK PAYABLE TO- ASCI
MAIL TO:

ASCI
ArtSci2001 Symposium
P.O. Box 358
Staten Island, NY 10301
USA