UDC 2006 Conference Registration Form

2006 UDC Conference REGISTRATION Form (updated 01 March 2006)
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***For your convenience, a PDF of the registration form is available here...*** (Requires Adobe Reader. Click here for free download.)

Or, you can...

1. Print out the form below. (2 pages)

2. Type or print legibly your information in the form and mail it, along with your check in U.S. dollars payable to Florida Atlantic University, to:

Stefanie Gapinski
Florida Atlantic University
The Dorothy F. Schmidt College of Arts and Letters
777 Glades Road, Room SO 100
Boca Raton, FL 33431

3. To pay by credit card, please complete and fax the Credit Card Authorization form, along with your registration form, to:
561.297.2058.

Name:
Organizational Affiliation:
Address:
City, State:
Country, Postal Code:
Work phone:	Fax:
Email address:

5. Registration Categories (check one):
Please note: Presenters must be a current UDC member to register for the conference. You can join UDC by clicking here, or enroll under one of the registration plus membership categories below:

PRESENTERS
_____ Registration only: $150 (after September 12, $175)
_____ Registration plus regular annual membership: $150 + $50 = $200 (after September 12, $225)
_____ Registration plus sustaining membership: $150 + $75 = $225 (after September 12, $250)
_____ Student/low income registration only: $100 (after September 12, $125)
_____ Student/low income registration plus student/low income membership: $100 + $25 = $125 (after September 12, $150)
_____ Scholarship recipients ($25)
_____ Annual membership only ($25)

NON-PRESENTERS ONLY
_____ Entire conference (no dinner) ($20)
_____ Entire conference (with dinner) ($70)
_____ Daily rate (free)
_____ SPECIAL - Entire conference, dinner, UDC membership ($125)

6. Are you a confirmed presenter _______ or a panelist _______?

Name of paper/presentation (and panel if already constituted):

_____________________________________________________________________________________________

Audio-Visual Equipment Needs
For presenters NOT registered for the 2005 conference, the new AV deadline for requesting equipment is April 1, 2006. This portion of the form is ONLY for presenters registering in 2006.
Please indicate your equipment needs below. All equipment must be requested on the registration form. Equipment cannot be added after this form is submitted, or at the conference site.

_____ VCR/monitor (for NTSC playback only)
_____ DVD player
_____ Slide projector
_____ Data projector

Please Note:

Due to limited availability, we may not be able to accommodate all data projector requests.
Those requesting the use of a data projector must supply their own laptops and non-standard connector cables.
Meeting rooms are not equipped with Internet access.

Your name: _______________________________________________________________________

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Page created: 13 June 2005
Page last updated: 8 May 2006