VISIONS 2011
REGISTRATION FORM

* NOTE: Reg Norby will confirm your
online registration with you via email.
YOUR PAYMENT WILL BE MADE AT THE CONFERENCE -
THIS FORM DOES NOT ACCEPT CREDIT CARDS.

Name:
Organization:
City:
Phone:
Email:

REGISTERING FOR:
		Amount
Early Full Registration* By April 29, 2011	$200	$
Full Registration* After April 29, 2011	$240	$
Student Registration	$90	$
Student Poster Presenter	$30	$
PARTIAL CONFERENCE REGISTRATIONS
Thursday Only (includes banquet)	$160	$
Friday Only (includes breakfast)	$100	$
Buffet Dinner Only	$25	$
*2011/12 MEMBERSHIP Annual membership is included in full registration fee. For all others, the annual membership fee is $30.
Annual Membership	$30	$
TOTAL		$

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You may also print and complete this form before mailing it to: AAEA, Rural Economy University of Alberta Edmonton, Alberta T6G 2H1 Include your cheque payable to "AAEA" with your mailed in registration form.

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Visions 2011 Hotel Reservations
are to be made directly with the
Holiday Inn at 1-877-660-8550

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A block of rooms will be held until April 5: $121 + tax.