Symposium Dates: Sunday, March 4th to Tuesday, March 6th, 2012
Participant
First Name
Last Name
Spouse
First Name
Last Name
Only enter the spouse name if attending the spouse's program
Address
City
/
State
/
Zip
Phone
Email
Are you currently a high school or college student?
Yes
No
Registering for:
Symposium
Member Fee: $100.00, Spouse Fee: $35.00, Student Fee: $0.00
One Day Only
Fee: $50.00
No Symposium
Awards/Hall of Fame Banquet
$35.00 Per Attendee
Number of Attendees
(including yourself and/or spouse)
Registration Fee includes admission to symposium, exhibit area, speakers and meals (banquet extra)
