NARBLA
Conference Registration Form
Saturday, April 14,  2018
Salem State University
Salem, Massachusetts

Name: ___________________________________________________________________________________

School/Publisher Affiliation: _______________________________________________________________ 

Mailing Address: __________________________________________________________________________

________________________________________________________________________________________

Telephone: ______________________________________________________________________________

Fax: ____________________________________________________________________________________

E-Mail Address: _________________________________________________________________________

Please read carefully and check the appropriate box(es):

__ I plan to attend the NARBLA Annual Conference. I have enclosed a check for $90, payable to NARBLA, to cover registration, 2018 membership dues, a copy of the BUSINESS LAW REVIEW, refreshments and lunch.

__ I am a retired faculty member. I have enclosed a check for $70 (rather than $90) for the special emeritus rate.

__I am a newcomer (first time) to NARBLA. I have enclosed a check for $70 (rather than $90) for the special newcomer rate.

__ I do not plan to attend the Conference, but I have enclosed a check for $40, payable to NARBLA, for my 2018 dues and a copy of the BUSINESS LAW REVIEW.

__I am a member of the executive committee/board of directors. I have enclosed a check for an additional $40 to cover the cost of the dinner on Friday evening.

__ I plan to attend the luncheon. Please indicate any dietary needs.

__ I will present a paper entitled:

________________________________________________________________________________________

________________________________________________________________________________________

__ My audio-visual needs are: _____________________________________________________________________


__ I will bring ____ non-member guest(s) to the Conference and have enclosed $50 per guest to cover lunch and refreshments. The guest's name, affiliation, and paper title (if applicable):

________________________________________________________________________________________

________________________________________________________________________________________

__ I would be willing to be Program Chair for the 2018-19 academic year. I have written a sentence or two on the back of this sheet regarding my interest.

Please return this form with payment by Friday, April 6, 2018,  to:

Anne-Marie Hakstian
Salem State University
352 Lafayette Street
Salem, MA 01907