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2019 AIESEP International Conference Registration

*First Name:

*Last Name:

Title:

*Address:

*City:

*State:

*Zip/Postal Code:

*Country:

*Work Number:

{xxx-xxx-xxxx}

*Email Address:

*Retype Email Address:

*Affiliation:

Dietary Requirements:

Accommodations for people with special needs:

*Please state your name as you would like it to appear on your delegate badge:

*Are you happy with your details to be shared as part of a delegate list?

Yes

*Do you require an invitation letter to the conference?

Yes

*Have you submitted an abstract or proposal for a conference presentation?

Yes

Become an AIESEP Member and pay the member registration rate.

Registration Fees:

Member	$550.00
Non Member	$600.00
Student	$300.00
One Day Attendance	$150.00

[Click here to clear selection for question above]

Pre-Conference Events:

Special Interest Group Workshops: Early Years	$15.00
Special Interest Group Workshops: Social Justice	$0.00
Special Interest Group Workshops: Research Seminar for Early Career Academics	$15.00
TPSR Alliance Conference - Professionals	$110.00
TPSR Alliance Conference - Students	$55.00
Teaching Personal and Social Responsibility Through Sport Graduate Course: Non-Credit	$500.00

*Will you be attending the dinner cruise on Saturday, June 22, 2019:

Yes

*Will you be purchasing guest meal tickets for breakfast on Thursday, Friday and Saturday (June 20, 21,22):

Yes	$30.00
No	$0.00

*Will you be purchasing guest meal tickets (lunch on Thursday, Friday and Saturday - June 20, 21,22):

Yes	$50.00
No	$0.00

In order to receive the early bird discount, your registration fee must be paid in full by March 15, 2019. Regular registration fees must be paid in full by 1, 2019–Otherwise your registration will be cancelled.

*Method of Payment:

Send Invoice Credit Card