ASLA 2012 Annual Meeting & Expo Registration And Housing Form

ASLA 2012 Annual Meeting & Expo Registration And Housing Form
Phoenix, September 28 – October 1
Primary Registrant
Membership: n ASLA n AIA n APA n USGBC
n International Landscape Architect n Non-member*
Membership Number for organization listed above
Name (First, MI, Last)
Nickname for Badge
Firm/School/Agency/Company
Mailing Address
City/State/Zip
Daytime Phone Fax
Email
CLARB Council Records Number (if applicable)
If licensed in Florida, please provide license number
Please indicate any special needs that could affect your full
participation in the meeting:
n I do not want to be included in Friend Finder.
Guest Registrant***
n Guest (Limit one per professional registrant.)
Name (First, MI, Last)
Nickname for Badge
Visa Request
■ I require a Visa letter in order to attend. Below is the
country that issued my passport and the number:
Country Passport Number
Visa letters will be processed and emailed to registrants for a $25 fee.
Add this fee to your total at the end of the registration form. Additional
charges apply for original letters sent by express mail. Contact
customer service at 00-1-301-694-5243.
Print Form and Submit
Hotel Reservations
From the options below, put a 1 or 2 before the hotel name to
indicate your first and second hotel choice:
______Sheraton Phoenix Downtown (Headquarters Hotel)
$219 single/double occupancy
______Hyatt Regency Phoenix
$224 single/double occupancy
______Westin Phoenix Downtown
$205 single/double occupancy
Arrival Day/Date Departure Day/Date
Bed Preference (not guaranteed)
■ Single (1 person,1 bed) ■ ■ Double (2 persons,1 bed)
■ Double/Double (2 persons, 2 beds)
Name of Roommate (if applicable):
■ Use the same credit card used for registration to
guarantee my room reservation.
■ Use a different credit card to guarantee my room
reservation (complete information below).
n Charge n VISA n MasterCard n AMEX n Discover
Card Number Exp. Date
Print name as it appears on card
Signature
The Experient Housing Bureau will forward a confirmation to you and
will accept changes or cancellations until 5:00 pm EST September 4,
2012. After this date, notify the hotel directly of any changes or cancellations.
Cancellations received 72 hours before arrival, or less, will be
charged one night’s room and tax.
Method of Payment (print clearly)
n Check enclosed (payable to ASLA) — U.S. funds only.
n Charge n VISA n MasterCard n AMEX n Discover
Card Number Exp. Date
Print name as it appears on card
Signature
Refunds
ASLA will refund registration less a $75 processing fee upon written
request received prior to Friday, August 17, 2012. After August 17, registration
is non-refundable.All ticket sales are final and non-refundable.
n I have read and understand the cancellation and refund policy.
Signature
Mail to: ASLA Registration, 1888 North Market Street Frederick, MD 21701, USA. Fax only credit card payment to:
888-772-1888 or 00-1-301-694-5124 (outside the U.S.) For questions: call 866-229-2386, 00-1-301-694-5243 (outside the
U.S.), or email asla@experient-inc.com. Register online at www.asla.org/2012 meeting.

Conference Registration And Ticketed Event Fees
Register online early and save! Check all that apply.
Early Bird Advance After Total
FULL CONFERENCE by 7/6 by 8/17 8/17
n ASLA Member, International, AIA, APA, USGBC Members $475 $625 $725 $ _____________
n Professional Non-Member* $880 $1,030 $1,130 $ ______________
n Associate – 1 yr. $250 $375 $475 $ ______________
n Associate – 2 yr. $320 $445 $545 $ ______________
n Associate – 3 yr. $400 $525 $625 $ ______________
n Student Member $155 $280 $380 $ ______________
n Student Non-Member** $225 $350 $450 $ ______________
n ASLA Emeritus $110 $125 $135 $ ______________
n Guest*** $120 $170 $220 $ ______________
ONE DAY REGISTRATION I will attend: n Fri n Sat n Sun n Mon
n Professional Member $300 $425 $525 $ ______________
n Professional Non-Member $500 $625 $725 $ ______________
n Student Member $125 $250 $350 $ ______________
n Student Non-Member** $175 $300 $400 $ ______________
TICKETED EVENT OPTIONS All ticket sales are final and non-refundable. Quantity
n JL JobLink LIVE Tabletop Display $100 $150 $200 x ______ = $ _____________
Friday, September 28
n WS01 LARE Prep Workshop—Section 4 $85 $110 $135 x ______ = $ ______________
n WS02 LARE Prep Workshop—Section 3 $85 $110 $135 x ______ = $ ______________
n WS03 Both LARE Prep Workshops $110 $160 $210 x ______ = $ ______________
(Special discounted rate for both LARE workshops)
n WS04 The Sustainable Sites Initiative (SITES) $135 $160 $185 x ______ = $ ______________
Field Sessions Please list the code, price and quantity:
n __________________________________________ ________ x ______ = $ _____________
n __________________________________________ ________ x ______ = $ ______________
Saturday, September 29
n F02 ASLA/Landscape Structures Gala $85 $100 $115 x ______ = $ ______________
Sunday, September 30
n F01 Fellows Investiture Dinner**** $175 $190 $205 x ______ = $ ______________
n F05 Professional Practice Network Reception $25 $30 $35 x ______ = $ ______________
Monday, October 1
n F04 President’s Dinner, ASLA Honors & Installation of Officiers**** $125 $140 $155 x ______ = $ ______________
Registration forms without payment cannot be processed. Please total all fees.
* Provides ASLA membership for one year, including chapter dues and all benefits.
** Must be a full time student to be eligible. Provides Student ASLA membership for one year,
including all benefits. Non-member students must provide copy of student ID for 2011/12
or 2012/13 with registration form and payment.
*** Is limited to a spouse or significant other and not to be used for landscape architecture
professionals. It includes the Alumni Reunion, the ASLA EXPO, and the Awards Ceremony.
General sessions and education sessions are NOT included.
**** For full tables of 10, please contact meetings@asla.org or call 202-216-2328.
Phoenix, September 28 – October 1
Your Registration Fee $ ______________
Guest Registration Fee $ ______________
Ticketed Event Options $______________
Visa Letter $25 Fee $ ______________
Total Registration Fee $ ______________