2010 CTSA Convention Pre-Registration

Cleveland Renaissance Hotel; June 10 - 13, 2010

Please remember:
1)  The deadline for Pre-Registration (and pre-registration pricing) is Saturday, May 1, 2010.
After May 1, registration will be available on site (at on site pricing) only.
2)  No refunds will be processed after May 20, 2010. All refunds are subject to a $20 processing fee.
3)  Check payments must be made payable to CTSA; US dollars only.


Attendee Name:
    print as you wish your name to appear on name badge
     
Institution;
or city of residence:
     
Telephone #: ( ) , ext.
Email Address:
     
Please select from the registration options below.
  $140 Member Registration ($160 on site)
  $75 Spouse non-member Registration ($75 on site);
   spouse name (for badge):
  $160 Non-Member Registration ($180 on site)
  $35 Student Registration; ID must be presented on site ($35 on site)
  
  $60 Saturday Banquet ticket ($70 on site); must select entree next line
      Select Entree: meat; fish, vegetarian, or vegan entree
     If no entree is indicated, the meat entree will be ordered for you.
    $60 Additional Banquet Ticket(s) ($70 on site); select quantity & entree below
       Number of additional Banquet tickets
  Select Entree(s):
     If no entree is indicated, the meat entree will be ordered.
    Donation towards Student Banquet Ticket $
    I am a Student & request donated Banquet Ticket (if available)
  
    $24 von Balthasar Society Breakfast (Friday, June 11th); $26 on site
    $24 Additional von Balthasar Breakfast; $26 on site; select quantity below
       Number of additional von Balthasar Breakfast tickets
  
    $25 Women's Luncheon (Friday, June 11th); $25 on site
    $25 Additional Women's Luncheon; $25 on site; select quantity below
       Number of additional Women's Luncheon tickets
    $20 Women's Luncheon; Student Price (Friday, June 11th); $20 on site
  
    $24 Rahner Society Breakfast (Saturday, June 12th); $26 on site
    $24 Additional Rahner Society Breakfast; $26 on site; select quantity below
       Number of additional Rahner Society Breakfast tickets
     
Please note: any dietary concerns or any questions should be directed to:
CTSA Secretary, Mary Jane Ponyik at (216) 397-4980 or mponyik@jcu.edu
     
Payments Options
     $0.00  Total amount due for registration selections
    Pay online securely using PayPal
    Print this completed form & mail in check to CTSA
     

 

 
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