Combined Annual Meeting Preregistration and
2003 Dues
____ $185.00 U.S. Regular Member Registration
and
2003 Dues (if paid before February 1, 2003)
(After February 1, pay at conference; on-site registration plus dues: $195.00
U.S.)
____ $100.00 U.S. Student
Member Registration and 2003 Dues
(Faculty Authorization Signature _______________________________________)
____ $50.00 U.S. Extra
(e.g., spouse) Banquet and Receptions Tickets
____ $20.00 U.S. Wednesday February 26 Field Trip Ticket
Note: Your Registration Fee includes a Banquet Luncheon Ticket, Drink Tickets for the Opening Reception, and the President’s Reception, Coffee Breaks, Program and Meeting materials, and it helps pay our A/V, publicity, and other costs of holding the Meeting.
2003 Dues only (for those not attending the conference; dues are included in the above amounts for conference registrants)
____ $65.00 U.S. Regular
Individual Membership (before February 1, 2003)
____ $70.00 U.S. Regular
Individual Membership (after February 1, 2003)
____ $40.00 U.S. Student
Membership
(Faculty Authorization Signature _______________________________________)
____ $80.00 U.S. Combined
Membership — Individual & Spouse (includes one copy of The Annals)
_______ TOTAL AMOUNT PAID
PAYMENT OPTION:
• Check enclosed _____. Make Payable (in U.S. Funds)
to: WRSA
• Credit Card. Charge to my: ___ Visa Card
or ___ Mastercard. Signature: ___________________________
Card Number: __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __ Expiration Date: _________________
Note: The only credit cards WRSA can accept are Mastercard and Visa. We cannot accept American Express or Eurocheques. Please note that charges will appear on your statement from The University of Arizona Foundation, which manages WRSA’s finances.
Complete All Information Below:
NAME:_______________________________________________________________________________
(Last, First, Middle)
ADDRESS: ____________________________________________________________________________
(Dept., Inst. Name)
____________________________________________________________________________
(Number, Box, Street)
_____________________________________________________________________________
(City, State/Province, Country)
(Zip/Postal Code)
_______________________ _______________________________
_____________________________
(Telephone)
(FAX)
(e-mail Address)
Note: Because of the membership benefits received,
dues and meeting registration fees are not U.S. tax-deductible as charitable
contributions; consult your tax advisor regarding their deductability as
business expenses.