ISEG 2012

MEMBER REGISTRATION FORM
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Registration	*Full - Registration ($400)
	**Student - Registration ($200)
TMC Participant Code	For participants of The Mediterranean City Conference Only - If you do not have a code please contact the Mediterranean City Conference Organizers
Guests (Participate in Social Events only)	Number of Guests: ($150/guest) Guest Names on per line (e.g. Dr. Martin L. King)
Post-Symposium Event	*Disneyland ($100) *Universal Studies ($100) Total Number of People (Disney or Universal)::

* Full Registration (after March 30,2012) is $400 must submit documentation (Letter of active enrollment with your name and date, submitted on official school letterhead) that confirms that you are currently a student enrolled in a degree-granting institution to Ms. Jaime Friedman at JFriedman@cslanet.calstatela.edu and original must be presented during symposium registration. Disneyland /Universal Studio include one-day admission for June 30, 2012 to the park of choice and round transportation from symposium hotel to park of choice. Event may be cancelled (with refund) if a quota is not met by March 30, 2012
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