TAA Convention Registration
June 20-21, 2003
Richmond, Virginia

Registration (Members): $160 before May 1, $210 after
*Registration (Non-Members): $210 before May 1, $260 after

*Bonus: Non-Member Registration includes a 1-year membership to TAA!)

Registration includes Awards Banquet

ABOUT YOU
Name:
Address:
City: State: Zip:
Phone: Fax:
Email:
Subject in which you write:
Institutional affiliation:
Names of guest(s) accompanying you (for name tags):

REGISTRATION FEES
CHECK
HERE

$160 Registration fee for member, before May 1 (includes Awards Banquet)

$210 Registration fee for member, after May 1 (includes Awards Banquet)

$210 Registration fee for non-member, before May 1 (includes Awards Banquet)

$260 Registration fee for non-member, after May 1 (includes Awards Banquet)

$40 each for Guest Banquet Tickets
TOTAL ENCLOSED:

PAYMENT
CHECK
HERE

Check is enclosed for $

Charge my credit card for $

  • MasterCard
    number:
  • Visa
    number:
    • Credit card expiration date:
    Your
    cardholder
    signature: