A.S.I.A. MEMBER REGISTRATION Return to: A.S.I.A., 177 Low Road, Malone NY 12953 Tel: 518-483-7685 Email [email protected] Registration and payment must be received by May 1, 2015. Late registration fees may apply after that date. Your Name: Address: Phone: Choose one: Email: New Member ($55 US, $65 overseas) Renewing membership($55 US, $65 overseas) Lifetime ($500) SYMPOSIUM REGISTRATION Wednesday June 10 - Sunday June 14, 2015 at East Stroudsburg University, PA Registration includes admission to all Symposium workshops, demonstrations, panels, and evening events. It also includes breakfast, lunch, and dinner at the College on Thursday, Friday and Saturday as well as breakfast on Sunday. MEMBER REGISTRATION Symposium Registration (good for all events Thurs. - Sat. and meals Thurs. - Sun.) One day registration (does NOT include meals) -- specify day(s) Guest Registration (Members may bring one guest at members’ rate) Guest name: per day $110 $250 NON-MEMBER REGISTRATION SPECIAL NOTE: you may join as a new member at the top of this form and take advantage of the special Member rate. If you do not wish to join, please complete the non-member registration below. Symposium Registration (good for all events Thurs. - Sat. and meals Thurs. - Sun.) $250 One day registration (does NOT include meals) -- specify day(s) $340 per day $135 ROOM REGISTRATION Rooms are in recently constructed dormitories with nearby parking lots. Sheets, pillow & pillowcase are furnished; bring your own blanket etc. All rooms are equipped with A/C and are in suite formation with semi-private baths depending on the number of rooms in the suite. Please indicate if you want a specific roommate. Check-in Wednesday after 12 noon; check-out Sunday by noon. Single Room with A/C $200 Double Room with A/C $200 (per person) Roommate name: (If no name is entered, we will assign roommate) www Budget Inn: If you are staying at the Budget Inn you must make your own reservation under the ASIA Symposium account. www Room Rates (per night): Standard. Room-Sun thruThurs $79; Fri/Sat $94 Deluxe. Room - Sun thru Thrs $87; Fri/Sat $116 Contact Budget Inn at 570-424-5451 INSTRUMENT EXHIBIT $100 3’ x 6’ Display tables are available to Symposium participants; limit one table per member. PAYMENT Total amount for memberships, registrations, rooms, display table: Check (enclosed) PAYPal ([email protected]) Credit card or PAYPal: FAX Card # $ VISA/MasterCard/AMEX/Discover Exp. Date: Signature to 518-483-5639 or email to [email protected]. Checks: mail to 177 Low Road, Malone, NY 12953