MEETING PRE-REGISTRATION FORM FOR PRESENTERS ONLY
All presenters must be pre-registered for the meeting

Name______________________________________________________________________

Address____________________________________________________________________

City______________________________________State________________Zip___________

State Society Affiliation____________________________________________________________________

Telephone (Work) (____)-__________________ (Home) (____)-__________________

E-Mail address: ___________________________________________________________

Company or University Affiliation ________________________________________________

Days Expected to attend: _____Thurs. _____Fri. _____Sat. _____Sun.

Nights staying at Hotel _____Thurs. _____Fri. _____Sat. _____Sun.

Meeting Registration Fees:
$25.00 per Presenter
$20.00 per Student (attach copy of student ID)   

All checks must be made payable to "NYSAA" in US funds.
Questions concerning program: 1-716-878-6520

Registration fee and forms to:

Save this form to MS-Word and email it as an attachment, if fee is paid through PayPal
Lisa Marie Anselmi: anselmlm@buffalostate.edu

OR

Mail to::
Lisa Marie Anselmi
Department of Anthropology
Buffalo State College
1300 Elmwood Ave.
Buffalo, NY 14222