MESA Annual Meeting Registration

MESA 2008 Annual Meeting Registration

Please use this form only if registering on-line by MasterCard, Visa or American Express. If you would like to print a form to mail with your credit card details or a check, please go here. DO NOT COMPLETE this form if paying by check—registration will not be recorded. The deadline for Pre-registration is October15, 2008. On-site registration is required after that date. Please note MESA’s refund policy listed below.

Once you complete and submit this form, you will proceed to a page where you can make your on-line secure payment. Once payment is received through our payment portal, the details from this form will be processed in the MESA database.

Please direct questions about registration to Sara Palmer at palmers@email.arizona.edu or 520-626-4753.

Registration Category	Pre-Registration Fee	On-Site Registration Fee
MESA Full/Associate Member	$80	$100
MESA Student or Retired Member	$40	$60
Student, Non-MESA Member	$60	$80
Other Non-MESA Member	$100	$130

1. Registration Category

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2. Name (as it should appear on your badge)
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3. Institutional Affiliation (as it should appear on your badge; institution only please)
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4. Address

5. Email Address
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6. Work Phone

7. Work Fax

8. Refund Policy
For non-participants, MESA will give a full refund of the pre-registration amount provided that the request for refund is made by no later than the pre-registration cut-off date of October 15. After that date no refunds will be issued. If you are uncertain whether or not you will be able to attend the meeting, please plan to register on site. Meeting participants should be pre-registered for the meeting; refunds for participants will be given only to those who request one by August 15, 2008.

In order to process your registration, you must acknowledge that you have read and accept MESA's refund policy. If you do not wish to abide by MESA’s refund policy, we ask that you register at the meeting.

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