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Registration Form:

Wilson Hall  Photo Credit, Edward M. Hubbard
Registration for meetings is necessary for all who wish to attend. Seating is extremely limited and we urge those who wish to attend to register as soon as possible by sending in their registration form and fee payment:
All selected presenters who are U.S. residents must be members of the American Synesthesia Association.
Registration Fees
Early Registration Fees Received before August 6, 2010 :
$100.00 (ASA Members)
$100.00 (All Vanderbilt University Faculty)
$125.00 (Non Members)
$ 35.00 (Students with current valid ID)
Registration Fees Received between August 6, 2010 and September 5, 2010
$130.00 (ASA Members)
$130.00 (All Vanderbilt University Faculty)
$150.00 (Non Members)
$ 35.00 (Students with current valid ID)
Late Registration Fees Received after September 5, 2010 or At the Door
$150.00 (ASA Members)
$150.00 (All Vanderbilt University Faculty)
$165.00 (Non Members)
$ 35.00 (Students with current valid ID)
Method of payment:
If paying by check or money order
please complete the following information:
Name: ___________________________________________________________
Street Address: __________________________________________________
City and State: __________________________________________________
Country: _________________________________________________________
Telephone: _______________________________________________________
Fax: _____________________________________________________________
E-mail Address: __________________________________________________
Website: _________________________________________________________
Please print out a copy of this registration form, fill it out, and send it with your check or money order via regular mail to:
American Synesthesia Association, Inc.
515 Greenwich Street, Suite 304
New York, NY 10013
Checks or money orders must be drawn on a U.S. Bank, made payable to the American Synesthesia Association, Inc.
Confirmation of receipt will be by email only.
The ASA cannot be held responsible for reservations that are not received in a timely manner.
If paying by PayPal, please check back soon as we hope to offer this service soon.
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