SIXTH INTERNATIONAL CONFERENCE ON THE MENTAL …
American Association for Corpus Linguistics (AACL 2009)
Conference Registration Form
AACL Fax Number 780-492-0806
1. PERSONAL INFORMATION:
|Last Name: |First Name: |
|Home Phone No: |Work Phone No: |
|Affiliation / Institution: |
|Email Address: |
|Please indicate which address is provided below: Work Address Home Address |
|Address: |
|City: |Province / State: |
|Country: |Postal Code/Zip Code: |
2. REGISTRATION FEES:
|Registration Fees: |*Registration after August 31st will be $150 for Student/Post Doc and $225 for Non-Student |
|Delegate $175.00 (CAD) |Delegates. |
|Student/Post Doc $100.00 (CAD) | |
|Workshop Fee $25.00 (CAD) |*The registration fee includes the AACL Graduate Networking Evening for Graduate Students and|
| |Post Docs. |
|Student registration will not be considered without the following information: |
| |
|1. Student ID Number: |
| |
|2. Name of Accredited Institution and Supervisor: |
| |
|Please note any dietary restrictions: |
3. PAYMENT INFORMATION:
|Please select your payment method: Visa MasterCard American Express |
|Name as it appears on credit card: |
|Billing address of credit card: |
|Card Number: |Expiry Date: |
|TOTAL PAYMENT: $ (CAD) |
|SIGNATURE: For those submitting their credit card information via fax or mail, please sign below: |
|_________________________________________ |
Registration forms with registration fees can be submitted the following ways: EMAIL to efrench@ualberta.ca. FAX to (780) 492-0806 attn: Elizabeth French. If outside North America, fax to 01-780-492-0806. MAIL to Department of Linguistics, 4-63 Assiniboia Hall, University of Alberta, Edmonton AB, T6G 2E7, Canada.
CANCELLATION POLICY: Notification of cancellation must be in writing (including fax and email). Cancellations prior to September 1st will be charged a $30.00 processing fee. No refunds for cancellations after September 1st, 2009.
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