Please fill out the following information to register for this conference. By providing your phone and email address you let us contact you to arrange for additional events at the conference.

After you fill out the form and click Submit, you will be taken to a confirmation page that you may print out and send with a check, or pay immediately with the Paypal "Pay Now" button.

Name:
Phone:
Email Address:
Street Address:
City, State, Zip:
Payment Options:	BJS Member ($40) Non-BJS Member ($50) Conference and Join BJS ($60) Student Rate ($25) Student and Join BJS ($45)      Advantages of Membership
Additional Attendees: List names individually You may bring additional people, if one is a member all pay the member price.