Pre-Registration Form
for
LACUS
/ ALCÉU
Linguistic
Association of Canada and the United States
Association de
Linguistique du Canada et des États-Unis
THE 35th LACUS FORUM
To Be
Held at
Université Laval/Laval University (Quebec, Canada)
June 10-14, 2008
Last
Name________________ Given Name_______________
Gender: M
or
F
Institutional
Affiliation
______________________________________________
Address_________________________________________________________
City_______________
Postal Code_____________ Country
_______________
Telephone___________
Fax_____________ E-mail______________________
Travel
Information:
Date
and approximate time of
arrival_________________________________
Date
and approximate time of
departure______________________________
Do
you expect to attend the LACUS Banquet on Friday night?
__________
(Just give a
tentative answer at this point, so we can
estimate.)
Pre-registration
fee:Please circle the appropriate
amount and indicate method of payment. All checks and
international money order should be made payable to
"LACUS". Note that if you are presenting at LACUS, you
must be a member of LACUS. See the LACUS home page,
"Membership" section, to apply for membership (Or click
the following link: Membership
Application). If you are from outside of
North America and have difficulty sending payment in US
or Canadian funds, send in the form with statement that
you will pay on arrival. After July 1 and on-site
registration: add US$10/Can$10 in each category.
New! Option to pay using PayPal (see end of
form):
Members:
$50
US / $50 Can (Emeritus: $40 US / $40 Can; Student: $30 US
/ $30 Can)
Non-Members:
$55
US / $55 Can (Emeritus: $50 US / $50 Can; Student: $40 US
/ $40 Can)
Payment by .....Check .....Money Order ....Credit
Card
Please
print out this form, fill in, and mail with check or
money order or printout of PayPal receipt to:
Dr.
Lilly Lee Chen, LACUS Secretary-Treasurer
Center for the
Study of Languages, MS-36
Rice
University, 6100 Main Street
Houston, Texas USA 77251-1892
Return to the Membership and Pre-Registration Page
|
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