Registration Form

AASC Conference Registration and Membership Dues Form
Name First: Last:
Contact Info Email:

Street 1:
Street 2:
City: State:
AASC Conference Ticket Includes one ticket each to the Banquet and Awards Luncheon
ACIS Workshop Registration for full-day ACIS Workshop prior to AASC Meeting
Kickoff Icebreaker Will you attend Kickoff Icebreaker the evening before the AASC Meeting begins? (No additional cost)
Yes   No
Additional guests for Icebreaker
AASC Membership Dues  
Awards Luncheon Additional Guest Ticket(s) - $ each
AASC Banquet Additional Guest Ticket(s) - $ each
Allergies / Dietary Restrictions Please note any allergies, or dietary restrictions you or your guest(s) may have.
Evening Event Are you interested in attending one of these offsite events on Wednesday evening?
(Separate costs apply; payable at event.)
Bowling   Social Event(TBA)   Neither  
Additional guests for evening event(s)
Processing Fee:
Total Cost:
Discount applied upon checkout.