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