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ABSEL Conference Registration Form

 March 18 - 20, 2009     Seattle, Washington

Association for Business Simulation and Experiential Learning

BEGIN_OF_COMMENT[if gte vml 1]> <![endif]-->Registrant Information  Title:   q  Dr.   q  Mr.    q  Ms.    q  Mrs.       

 

Name (First/Last) – Please type or print in Black Ink                                               Name as you wish it to appear on name badge

 

Affiliation (University or Corporation)

 

 

Preferred Mailing Address

 

City                                                                                                                    State                                                      Zip Code

 

Country (if from Outside USA)                                                            Email Address

 

Phone Number                                                                                        Fax Number

 

 

 

Registration Fee:    ABSEL Members:                                                   $290 until 2/1/2009

                                    Student Members:                                                   $190 until 2/1/2009                                      $____________

                                    Registration after 2/1/2009                                   $325 ($190, students only)

(note:  determination of proper registration fee is made based upon receipt date of payment)

 

 

 

Guest Tickets:         Opening Reception (Wednesday evening)          No. guests _____ x $20                               $____________

                                    Thursday Night Event                                            No. guests _____ x $45.00                          $____________

                                    Celebration Luncheon (Friday)                            No. guests _____ x $25.00                          $____________

                                   

 

Guest Name (for courtesy name badge required for entrance to event)

 

 

 

TOTAL AMOUNT                                                                                                                                             $___________________

Check one:                q  Enclosed is a Check #_______________ in the amount of $______________

                                           (Make Check Payable to “ABSEL” & be sure registrant’s name is on check)

 

q  I have submitted my payment through PayPal  (www.paypal.com)

       (Please make PayPal payment to ABSEL, and remember to mail or fax this form to us – note your registration      

        will not be considered completed until both reg. form and verification of payment is received by ABSEL)

 

q  I will pay via credit card.  I authorize the above total amount to be charged to:

Name on Card____________________________________  type of card:  ___visa     ___mastercard

 

Card #:________________________ Card expiration date:_____________ 4-digit Card Code:  _____

 

Registration fee includes the conference proceedings, meals noted above, a one year subscription to Simulation and Gaming: An International Journal of Theory, Design, and Research, and a one year ABSEL membership.

 

NOTE:  You must register for hotel accommodations separately.

  Please call the Seattle Best Western Executive Inn (http://www.bestwesternwashington.com/hotels/best-western-executive-inn/).

An ABSEL room rate is available for $95.00 per night for rooms reserved by February 1, 2009.

 

                                               

 

Other Needs:        q Please check here if you require special accommodations to participate and email a written description of your needs to Joseph Wolfe at jwolfe8125@aol.com who can coordinate those needs.

 

 

Please send completed form and payment to:                                         Or (if paying through PayPal or credit card) fax form to:

ABSEL 2009 Registration

Joseph Wolfe
Experiential Adventures LLC
jwolfe8125@aol.com

If you have questions about registration, please email:

email:  jwolfe8125@aol.com