Name (to appear on nametag)
Institutional Affiliation (to appear on nametag)
Status Select one Undergraduate Student Graduate Student Alumni Faculty Emeriti Other
Mailing Address
City, State, Zip
Is this address new? Yes No
E-mail
Work phone Home phone
Registration Fee: Late (after May 1) Faculty/Other $30 Student/Emeritus $20 Joint $50
Graduate students only: I will attend the pizza dinner Friday night (free of charge) Yes No
Concert tickets: Persian Classical Music Concert: Dastan Ensemble Friday, May 15, Ted Mann Concert Hall (tickets must be pre-purchased with registration) Tickets (at $15 each) 1 Dastan $15 2 Dastan $30 3 Dastan $45 4 Dastan $60
Saturday Banquet: Regular ($25 each) 1 Banquet $25 2 Banquet $50 3 Banquet $75 4 Banquet $100 Student ($20 each) 1 Banquet $20 2 Banquet $40 3 Banquet $60 4 Banquet $80
MTMW Membership:(required of all attending conference) Dues Regular $20 Emeritus $15 Student $10 Joint $30 (at same address) If your mailing label says "2009," you are already a member.
Komar Award:Contribution to Arthur Komar Award for best graduate paper $
Additional Comments