Catholic Theological Society of America

Convention Registration
Scholarship Recipient Form

Please remember:
1)	The deadline for Pre-Registration (and Pre-Registration pricing) is Monday May 6, 2013. After May 6th, registration will be available at on-site pricing.

Name Badge Information
Attendee Name:
		print as you wish name to appear on badge

Institution (or city of residence)

Member #:
		please provide if you are a CTSA member

Address

City		Prov/State Zipcode:

Telephone #:		( ) , ext.

Email address:

Please select appropriate registration status (student or non-student)
		Registering as a student; ID must be presented on-site ($35 on-site fee)
		I am not a student, I am registering at the Member Rate of $155 ($180 on-site)

Please select either an entree below or indicate that you are unable to attend.
		I will be attending the Saturday Banquet $60 ($70 on-site); must select entree next line
		Select Entree: meat; fish, vegetarian, or vegan entree
		Please indicate any food allergies:
		I am not able to attend the Saturday Night Banquet. I understand the ticket amount will still be deducted from the scholarship award

Please select other breakfasts and/or luncheons you wish to attend.
		$26 Friday, June 7 von Balthasar Society Breakfast ($28 on site)
		$30 Friday, June 7 Women's Consultation Luncheon, member/non-member price
		$15 Friday, June 7 Women's Consultation Luncheon; student price
		$26 Saturday, June 8 Rahner Society Breakfast ($28 on site)
		$30 Saturday, June 8 CUERG Luncheon, member/non-member

Please note: ANY questions should be directed to: CTSA Executive Director, Mary Jane Ponyik at (216) 397-4980 or mponyik@jcu.edu

Registration Options Totals
		$0.00 Total amount to be deducted from scholarship award

		Successful submission will result in being forwarded to a page showing all your registration selections (and may be printed)

2013 Convention

Registration for
2013 Convention

Scholarship Awardee Registration for
2013 Convention

Hyatt Regency Miami
Access CTSA convention hotel rates and reservation portal

Alternative Housing

Share a Room

2014 Theme/Call for Papers

Breakfast with a New Member

Purchase an Ad

Publisher Exhibitor Forms

Resolution Form

Airport Transportation

Guide to Miami

Childcare