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5. - Glass Art Society

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2009<br />

RegistratioN and<br />

Membership Form<br />

We encourage you to register online for faster confirmation at:<br />

www.glassart.org. Register by April 7, 2009 for the lowest conference fee!<br />

1<br />

First Name(s)<br />

Company<br />

Address<br />

personal Data<br />

Last (Family) Name(s)<br />

2<br />

conference registration<br />

Register by April 7 for the lowest rate!<br />

You must be a member of GAS to register for the conference (see section 5, page 18).<br />

Full Conference Pass: Includes all lectures; panels; demonstrations; opening ceremony/reception; closing party;<br />

evening in gaffer district; and other events taking place during the conference, EXCEPT special events and tours with<br />

additional fees.<br />

$______ $255 USD per person, December 1, 2008 - April 7, 2009<br />

$______ $280 USD per person, April 8 - May 19, 2009<br />

Full Conference Pass / Full-Time Student: (Must include photocopy of student ID to be eligible for student rates)<br />

$______ $135 USD per full-time student, December 1, 2008 - April 7, 2009<br />

$______ $160 USD per full-time student, April 8 - May 19, 2009<br />

City<br />

ZIP/Postal Code<br />

Telephone<br />

E-Mail<br />

State<br />

Country<br />

Fax<br />

Website<br />

Daily Conference Pass: (For those wishing to attend only 1 or 2 days.)<br />

Includes lectures; panels; demonstrations; and other events taking place ONLY on the day or days for which you register,<br />

EXCEPT special events and tours with additional fees.<br />

Check day or days attending: Thursday Friday Saturday<br />

$______ $120 USD per person, per day<br />

Daily Conference Pass / Full-Time Student: (Must include photocopy of student ID to be eligible for student rates)<br />

$______ $75 USD per full-time student, per day<br />

Please check all that apply:<br />

<strong>Art</strong>ist: Category for artists: glassblowing flame/lampworking<br />

leaded/stained kilnforming casting<br />

beadmaking neon fusing/slumping<br />

painting<br />

coldworking/engraving<br />

PLEASE NOTE: We are unable to process registration forms received in the GAS office after May 19, 2009.<br />

After May 19, register on site for full conference pass at $305 per person / $185 per full-time student.<br />

Daily fees do not change.<br />

$______ CONFERENCE REGISTRATION FEES SUBTOTAL<br />

Collector Educator Manufacturer/Supplier<br />

Gallery School (Studio) Hot Shop Owner<br />

Museum School (Graduate) Press/Critic<br />

Library/Organization School (Undergraduate) Other __________________<br />

For Office<br />

Use Only:<br />

Date ________________________________<br />

Amount (T) __________________________ Ck /Appr# ________________________________<br />

17

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