AMTA Registration Form

AMTA 2000 Registration Form

For room reservations at Misión del Sol please fill out the hotel reservation form and send it to Muriel Vasoncellos.

New Submission
Correction or addition to previous submission

Last Name and Suffix (Jr., III):

First Name:

Affiliation:

Address:

City:
State:

Zip:

Country:

Phone Number:

Fax Number:

Email Address:

Website:

Registration Fees

Fees are in US dollars. Please enter the appropriate amounts on the corresponding blank lines. The full-day fee for workshops and tutorials includes handouts, lunch and coffee breaks.

Workshops (Tuesday, October 10)

All-day workshop fee, $60

Tutorials (Wednesday, October 11)

Morning (9:00 am - 12:00 pm)

Afternoon (2:00 pm - 5:00 pm)

Half-day tutorial fee, $115

Full-day tutorial fee, $175

Conference (October 12-14) - choose one)

Member of AAMT, AMTA, EAMT

By July 17, $195 After July 17, $245

Non-member

By July 17, $255 After July 17, $305

Student

By July 17, $85 By July 17, $125

Buffet luncheon tickets (2), $30

Banquet (Friday, October 13): One person, $45
Extra person(s): @ $45 =

Total amount:

Method of Payment

Visa/Master Card (please circle one)

Card # ___________________________________ Exp. date ______________________________

Name on card _____________________________ Signature ______________________________

Check, bank draft or money order payable to AMTA.

Please indicate your payment and submit this form electronically. If paying by credit card, please print out this form after submitting, fill out the credit card information and fax or mail it to the Registrar, AMTA-2000 at the address below.

If paying by check, bank draft or money order, mail the check to the address below.

Send to:

Registrar, AMTA-2000
RMB 300
1201 Pennsylvania Avenue, N.W.
Washington, D.C. 20004 USA
Tel/fax: +1(703)716-0912
Email: AMTAInfo@att.net

Cancellation Policy

In the event of cancellation, there will be a processing fee of $30. No refunds will be made after September 22. You may substitute another person at the time you cancel.

New Submission Correction or addition to previous submission
Last Name and Suffix (Jr., III):
First Name:
Affiliation:
Address:
City:
State:
Zip:
Country:
Phone Number:
Fax Number:
Email Address:
Website:

Registration Fees
Fees are in US dollars. Please enter the appropriate amounts on the corresponding blank lines. The full-day fee for workshops and tutorials includes handouts, lunch and coffee breaks.
*Workshops* *(Tuesday, October 10)*

*All-day workshop fee, $60*

*Tutorials* *(Wednesday, October 11)*
Morning (9:00 am - 12:00 pm)


*Afternoon (2:00 pm - 5:00 pm)*

*Half-day tutorial fee, $115*

*Full-day tutorial fee, $175*

*Conference* *(October 12-14) - choose one)*
Member of AAMT, AMTA, EAMT
*By July 17, $195*	*After July 17, $245*
Non-member
*By July 17, $255*	*After July 17, $305*
Student
*By July 17, $85*	*By July 17, $125*

	*Buffet luncheon tickets (2), $30*

*Banquet (Friday, October 13):* One person, $45 Extra person(s): @ $45 =
*Total amount:*

*Method of Payment*
Visa/Master Card (please circle one)
Card # ___________________________________	Exp. date ______________________________
Name on card _____________________________	Signature ______________________________
Check, bank draft or money order payable to AMTA.
Please indicate your payment and submit this form electronically. If paying by credit card, please print out this form after submitting, fill out the credit card information and fax or mail it to the Registrar, AMTA-2000 at the address below. If paying by check, bank draft or money order, mail the check to the address below.
*Send to:* Registrar, AMTA-2000 RMB 300 1201 Pennsylvania Avenue, N.W. Washington, D.C. 20004 USA Tel/fax: +1(703)716-0912 Email: AMTAInfo@att.net	*Cancellation Policy* *In the event of cancellation, there will be a processing fee of $30. No refunds will be made after September 22. You may substitute another person at the time you cancel.*