Registration Form
I plan on attending the 2007 Alaska Investigators Conference on November 19, 2007 at the BP Energy Center in Anchorage, Alaska.
I qualify for the following rate:
O AIA Member $100.00 (Member in good standing with dues current.)
O Non-Member $150.00 (See below for early registration discount.)
O Group Rate $125.00 (Per person, 2 or more persons from same organization/firm.)
O Student $75.00 (Currently enrolled and have supporting documentation.)
Subtotal: ___________
Early Registration Discount: If you checked “Non-Member” above and you are remitting payment by October 1st, subtract $25.00 from your subtotal. (AIA cannot be responsible for payments mailed after October 1st.)
Total: ______________
O I am a member in good standing and plan to attend the members-only meeting following the conference.
Name: ____________________________________
Address: __________________________________
____________________________________
Phone: ____________________________________
Payment Details:
O Payment enclosed: $________ (Make payable to the Alaska Investigators Association, Inc.)
O Check
O Money Order
(Note: AIA is not responsible for payments mailed after October 1st. Payments will be accepted at the door.)
O My firm/agency is paying for me. You can verify this by contacting:
Firm/Agency: ________________________ Contact Name: _________________ Phone: ___________
O Please reserve a seat for me, I will pay at the door. (Note: Due to limited seating available for this conference, AIA cannot guarantee seating for attendees not paying in advance. Registrants are encouraged to remit payment as soon as possible to ensure a seat at this conference.)
If you checked “AIA Member” above, are you currently a member in good standing?
O Yes (Member status will be verified upon check in.)
O No, $50 renewal fee is enclosed.
O No, I will pay my $50 member renewal fee at the door.
O No, but I am interested in becoming a member. Please send me an application for membership and have someone contact me about the benefits of AIA membership.
___________________________________
Signature
Alaska Investigators Association, Inc.
P.O. Box 202314, Anchorage, Alaska 99520
Phone: 907-351-1835 / 907-374-4633 / 907-929-4394 ~ Fax: 1-866-370-1369
Web site: http://akinvestigators.com