Registration

First name:

Last name:

Email Address:

Institution:

I am current grad/undergrad student
(Registration fees for conference and dinner covered by UIUC for students)

Yes    No  

I would like to attend the conference dinner ($45)
(Thursday 18 July 7:00PM)

Yes    No 

I will bring a spouse to the conference dinner ($45)
(Thursday 18 July 7:00PM)

Yes    No 

I am a current or former EC member
and I will attend the EC dinner ($65)
(Friday 17 June 7:00PM)

Yes    No  

I will bring a spouse to the EC dinner ($65)
(Friday 17 June 7:00PM)

Yes    No  

Arrival date:

enter in format mm/dd/yyyy

Departure date:

enter in format mm/dd/yyyy

Where will you be staying?

Illini Union Hotel
Hampton Inn
other housing arrangements

Arrival Time:

Flight Number:

Airport:

Departure Time:

Flight Number:

Airport:

Number of Accompanying Persons :

Comments: