The Western Academy of Management Conference, 
Anchorage, Alaska

March 31st-April 4th, 2004

REGISTRATION FORM - PARTICIPANTS

You may copy this form and send it with your payment to the address below or you may submit the form electronically (preferred) and mail your payment or FAX your credit card information later. 

Please note: If you submit your registration electronically (preferred), we must receive your payment within two weeks or your registration risks being cancelled.

 

Last Name:

First Name:

Name (as you wish it to appear on badge):

Position Title: 

Affiliation:

Department:

Address1:

Address2:

City:

State:

ZIP:-

Country:

Work Phone:

Other Phone:

FAX:

EMAIL:

Optional Conference Activities

I plan to attend the Dinner on Thursday Night at the Top of the Mountain ($40).

I plan to attend the Western Case Writing Conference ($65).

I plan to attend the Doctoral Student/Junior Faculty Consortium.

I am interested in an organized downhill skiing group on Saturday afternoon.

I am interested in an organized cross-country skiing group on Saturday afternoon.

I am interested in attending small organized dinner events for Friday night.

Companion attending?

 

Registration Fees:     $150 before March 20, 2004                     

                                $175 after March 20, 2004

                                $100 for Ph.D. Students and Emeritus

                                $125 for Ph.D. Students and Emeritus after March 20, 2004

Western Casewriter's Conference:  $65                                    

Companion Fees:      $10                                                         

Thursday Night Dinner $40 (include for companion also)            

Total Amount To Be Paid:                                                        

Paid Via                                                                                    

Comments:

If you have entered the information as you wish it to appear, please click the "Submit" bar. If you wish to redo the entire form, click on the "Reset" bar.

Make all checks payable to Western Academy of Management in U.S. funds.

Send all FAXed information on registration/credit cards to Frank Jeffries at (907) 245-3420 .

Or e-mail Frank Jeffries at afflj@cbpp.uaa.alaska.edu .

Contact the conference hotel directly for room reservations - click here for the link to the Hotel website

Mail hard copies and payments to:

Frank Jeffries
Associate Dean for Academics, BA Department Chair
College of Business and Public Policy
University of Alaska Anchorage
3211 Providence Dr.
Anchorage, AK 99508
U.S.A.


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