The Standard Fee is $200 for attendees. (Please register after August 27.)

Please use this form to register and pay for the event. For credit cards, you may fax or mail, but No email, since Fordham requires a signature. Please mail checks. Fordham students and professors should contact the organizer for fee information.   Please See Bottom.

NAME:
TITLE / POSITION:
ORGANIZATION:
EMAIL (please print very clearly):
PHONE(s):
LUNCH: Yes _____ (Please note special needs.)  No _____ Maybe _____
RECEPTION:  Attend a post-conference reception?  Yes ___ No ____ Maybe ____
 
PAYMENT Information (Check One):  $200 _______   (other ________ )
        Do You Want a Formal Paid Receipt ? Yes ______ (See Bottom)

Credit Card Information: Visa _____ MasterCard _____ (Sorry, no others)
 
        Card #  ___________________________________   Exp. Date  _______  

SIGNATURE: ___________________________________________________

Contact and Payment Information: For questions, contact Prof. Steven Raymar, Fordham GBA – Room 616, 113 West 60th St, NYC, 10023, raymar@fordham.edu , 212-636-6159. To avoid errors if you mail or fax, also email or call S.Raymar to expect the form. If you need a formal receipt, but NOT by email, please provide a mailing address or fax. Checks should be made out to Fordham University, mailed to S. Raymar. Our Fax number is 212-636-6174 – Att’n. Juelly Lichtmann, Bus. Administrator.