AIDA · US Symposium Online Registration Form

To Register Online, select/enter amount and press submit

FINAL REGISTRATION Deadline: October 30, 2008

"Under 40" Group Members $25
Members $50
Non-Member $100

Member fee for 2008 $200
($50 Symposium fee waived with NEW Membership)

(Note: An additional $50 fee will be charged for all late registrations, which will be completed only at the conference.)

AIDA · US Symposium - Fax/Mail Registration

Type in the information below, print out the form, then fax or mail it to:
Steve Acunto
Managing Director
AIDA US
PO Box 9001
Mt. Vernon, NY 10552
Fax 001 914-966-3264

FINAL REGISTRATION Deadline October 30, 2008
"Under 40" Group Members $25
Members $50
Non-Member $100

Membership fee for 2008 $200
($50 Symposium fee waived with NEW Membership)

(Note: An additional $50 fee will be charged for all late registrations, which will be completed only at the conference.)

Name:
Firm:
Address:
City:
State:
Zip:
Country:
Phone:
Fax :
(Please include country code and access code)
E-mail:

Check payable to AIDA (Fed. I.D. No. 13-2700017) is enclosed with this form.

Copy of international money order is being faxed with this form to secure registration; both will be mailed.

Wire transfer receipt is being faxed with this form.

Mail registration form and check or money order to AIDA U.S., P.O. Box 9001, Mt. Vernon, NY 10552.

Wire transfers should be sent to Hudson Valley Bank, routing number 021-909-300, for deposit to AIDA U.S. Chapter, account number 1200 530 401. Both the registration form and a copy of the wire transfer receipt must faxed or sent.

Credit Card Payments:
Please charge my credit card: $

Please circle appropriate card

Amex. - Visa - MasterCard

Account No.:

Expiration Date: (MM/YYYY)

Signature:

Security Code:
(the last 3 or 4 digit code located on the signature bar on the back of your card)

Cardholder Name:

Cardholder Address:

Hilton