21st Annual SPER Meeting - Registration Form

First Name*:

Last Name*:

Organization:

Address*:

City*:

State:

Zip/Postal Code*:

Country*:

Phone:

Fax:

Email*:

	By May 23	After May 23
SPER Member	$235	$275
Non Member	$260	$295
SPER student	$35	$75
New SPER Member	$385	$425

SPER Pre-Meeting Workshop
	Early	On-Site
Student	$25	$35
Non-Student	$45	$55

Method of Payment:
Payment must be received prior to admittance of the meeting.
Check or Money Order payable to: SER - TID#52-1138509
American Express, MasterCard or Visa (Follow the steps on the next 2 pages. You will be taken to a secure site where you can enter your payment information. If you do not wish to pay online, you can call 801-525-0231 to provide your credit card details)