Title (Circle): Dr. Ms. Mrs. Mr.
Name (print):__________________________ Badge Name (first name):_____________
School / Company Name: ______________________________________________________
Mailing Address: ____________________________________________________________
City: ___________________________________ State: _____ Zip: _______________
Work Phone:( )____________________ Home Phone:( )________________________
FAX: ( )________________________ E-Mail Address:__________________________
Registration Fees: Before After
9/12 9/12
------ ------
ACET Membership Dues* $10 $10
Pre-Conference Seminar 25 30
Conference Registration 70 75
Student Registration (no meals) 10 10
Spouse Registration (with meals) 45 50
Guest Registration (no meals) 20/day 20/day
Please make checks payable to ACET and mail to:
Ed Clack
ACET Treasurer
P.O. Box 3429
Galveston, TX 77552
Dietary restrictions (please indicate) ______________________________________
* Even if you can't attend, please send in your membership dues so that we may keep your
benefits coming.
Note: Early registration ends September 12, 1996. Pre-Conference seminar
registration includes lunch and breaks. Member conference registration
includes two meals and breaks. Spouse (guest) conference registration
includes two meals and breaks.