2012 Registration Form

LACUS 2012 Registration Form
York University, Toronto, Ontario, CANADA
August 8-11, 2012

After August 1st, the Registration Fee is US $110.
To Register:

Name *

First

Last

Institutional Affiliation *

Full Mailing Address *

Telephone *

Fax *

Email *

Travel Information

Date and Approximate Time of Arrival *

Date and Approximate Time of Departure *

How will you be traveling to Toronto? *

By car By air Other

Please specify if "other" *

Will you need parking? *

Yes No

Do you expect to attend the LACUS Presidential Banquet Friday evening? *

Yes No

SUBMIT