Membership Newsletter Events Call for Papers Call for Award Nominations Directory

MEMBERSHIP, CONFERENCE, & EXCURSION REGISTRATION FORM

Department:  (other institution)

**All presenters must be members of UASAL**

Please check the appropriate membership/registration payment: Prices are for pre-registration by March 15th. (Registration after March 15th increases, shown below)
$30 ($45) -- General Membership & Conference Registration (includes lunch and one journal)
$40 ($60) -- Joint Membership (2 in same household; includes lunch and one journal)
$20 ($30) -- Student or Retiree Membership & Conference (includes lunch and one journal)
$10 ($15) -- Guest (Conference guest includes lunch. No journal)
$300 -- Lifetime Membership
$0 Lifetime Member Conference Registration

Planning to attend 2011 Annual Conference?  Yes     No

I will be presenting in the following Academy Division (select one): 

Vegetarian

NOTE: While conference attendees may join and register at the door, lunch is guaranteed only for those whose conference registration has been received by March 15, 2011.

I will be attending the 15th Annual Utah Academy Spring Excursion (more info will be available soon):