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• Reisf r t no Form AASLH Annual Meeting 2014 in St. Paul PAGE 1 OF 2 co . We will produce the meeting participant list and your name badge directly from this form. Please til.,X6CiwiNNrsrik type or print legibly. All correspondence and written confirmations will be sent to the address below. ❑Please do not include my information in the attendee directory. Nickname/Badge Name Name Position/Title Institution Address City State Zip Country Phone Fax Email Guest Name(if attending any Events/Tours) Organization Type Job Type/Occupation First-Time Attendee 1Yes 11 No AASLH Membership Number Expiration Date / / rereg-More Savings! Early Rate byd ist ration ORatee Become an AASLH Member Full Meeting Rate July25 Rate by and Save $140-175! Aug 15 Member Rate $245 $310 $335 AASLH New Members or Renewals (Check One) ❑ Non-Member $460 $485 $510 ❑Join 1 Renew ❑ Staff of Institutional Partners $245 $245 $270 AASLH Individual Memberships ❑ Full-time Student Member $195 $195 $195 ❑Patron $250 ❑Sustaining Member$125 ❑ Student Volunteer Free Free Free ❑Supporting Member$85 Part-time students who are employed full-time do not qualify for the student rate l ❑Basic Member$70 ❑Retired Member$40 Early Bird Prereg- Onsite CI Student Member$30 D a i l y Rate Rate by istration Rate July 24 Rate by AASLH Institutional Memberships Aug 15 ❑ Institutional Partner$1,000 ❑ One Day: Member $150 $170 $190 ❑Sustaining Institutional Member$750 ❑ One Day: Non-Member $300 $350 $400 ❑Supporting Institutional Member$500 One Day: Speaker $0 $0 $ ❑Contributing Institutional Member$250 Additional days available at member rate ❑Basic Institutional Member$115 Circle the day: Wed,Sept 17 Thur,Sept 18 Fri,Sept 19 Sat,Sept 20. SEIND BOTH PAGES OF THE FORM! seater Than the Sum of Our Parts 31