Registration form

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Registration form

RegPep25 Early price (January 2nd through March 14th, 2025)

Name

Email Address

Address

City

State/Province

ZIP / Postal Code

Country

Do you want to renew your biannual membership or apply for membership?Student membership: $50Regular membership:$100

Select your categoryStudent Member: $250Student Non Member: $325Member: $350Non Member: $500Guest: $210 (includes 5 breakfasts, reception & lunch)Day Registration: $150Retired Academics: $250Speaker/Chair Registration: $700

Do you want to acquire the accommodation package?Yes: I want to acquire the single en suite accommodation: $500Yes: I want to include accompanying person: $400No: I don't

Do you want to purchase the conference banquet ticket?Yes: $60Additional ticket for my guest: $60No

Do you want to purchase Air & Space Museum in Virginia transportation ticket?Yes: $24Additional ticket for my guest: $24No

Total

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