NY2001 - International Society for the Performing Arts

Pre-Conference Institute Registration Form

Please print out this page and complete the following form. Then mail or fax your registration to the ISPA office: ISPA 305 7th Ave., 5th Floor P.O. Box 909 New York, NY 10001-6008 USA tel 212.206.8490 fax 212.206.8603
Name of Insitute Attendee
Organization
Email Address
Title
Telephone
Fax
Are you registering for the ISPA Conference?
Registration Fee (check one):	__ $175 ISPA Member, includes lunch __ $300 Non-member, includes lunch
Payment Information (check one):	__ Check Enclosed, payable to ISPA __ Transfer Initiated __ Charge my [ ] Visa / [ ] Mastercard / [ ] AMEX
Credit Card Number:
Expiration Date:
Signature:

Your Pre-Conference Institute registration fee is non-refundable, but registration may be transferred to another staff member of the same organization on written notice, or credited to registration within your organization for a future ISPA professional training program.