Registration for the Thirty-Second Annual Northeastern Storm Conference

March 9-11, 2007

Registration Deadline: February 16, 2007

Please fill out the form below. The required fields are marked with *. If there are any questions please e-mail us.

Personal Information:

Name: *

Organization: *

Address: *

Apartment or Suite: *

City: * State: * Country: *

Zip Code: *

Telephone Numbers: (Please give the numbers that is easiest to get a hold of you)

- - Ext: *

- - Ext:

Fax: - -

E-mail Address:   *

Pricing Options:

Please select each of the box for your pricing options:

Are you a student? Yes No

If yes, please enter the school that you are currently enrolled in:

Price for registration, proceedings, banquet, and two breakfasts is $110.00 / $95.00 for students.

Price for registration, proceedings, no banquet, and two breakfasts is $90.00 / $75.00 for students.

Price for registration, proceedings, banquet and no breakfast is $90.00 / $75.00 for students.

The price for registration and proceedings only is $70.00 / $55.00 for students.

Check here if you will have any guests staying at the hotel with you that will not be attending the conference activities.

The price for the banquet for a guest only is $30.00.

Food Selections:

The banquet includes a choice of the following (choose one):

Chicken Kiev- Boneless Chicken Breast stuffed with lemon, garlic butter

Sliced Sirloin

Vegetable Lasagna

Swordfish with lemon butter

Springfield-Marriott Spring Rates:


Single:  $95.00

Double:  $95.00

Triple:  $95.00

Quad:    $95.00

-If you wish to register a room at the Springfield Marriott online for the 32nd Annual Northeastern Storm Conference, you may do so by going to http://marriott.com/property/propertypage/BDLMA or call the Marriott at 1(800) 228-9290 or (413) 781-7111 Reservations must be received on or before Friday, february 23, 2007 to guarantee the special rate.

Paper or Poster Presentations:

If presenting a paper or poster session, please check off the following and deduct it from your total fee:

$10.00 for paper presentation $5.00 reduction for poster presentation

Preferred Paper Presentation time:

Preferred Poster Display time:

Saturday AM time slot

Saturday only

Saturday PM time slot

Sunday only

Sunday AM time slot

Saturday and Sunday

Title of poster presentation:

Title of paper presentation:

Type of audio or visual equipment needed for presentation:

If you are presenting a paper or poster, be sure to send in a one page abstract or summary before January 14, 2007

LSC Alumni Reception

For LSC alumni only:
Please check this box if you are planning on attending the Alumni Reception at the conference. This is not required to attend but helps in our planning. Thank you.

Method of Payment:

***In order for your registration to be complete we must receive your payment before March. If we do not receive payment before March you will not be registered for the conference.*** Please send us your payment as soon as possible.

Credit Card We cannot except American Express.

***For security reasons we are cannot retain your credit card payments online.*** To pay using your credit card we ask that you choice one from the following:

  • In the comment box below, leave the best time to call you for your credit card information. We will call you as soon as possible.
  • Call Laura Ballard at (413) 237-4500 with your credit card information.

Credit Card Information we need:

  1. Name of person on the card
  2. Credit Card Number
  3. Expiration data on card
  4. Last 3 digits of the code on the back of the card

Check   ***Make checks payable to: LSC - AMS & NWA and send it before February 16, 2007 to:

Ryan Low
LSC - AMS & NWA President
Lyndon State College
LSC Box 7373
Lyndonville, VT 05851

Cash

Other  
      If other, please specify the method of payment:

Total Amount Enclosed: $ *Total amount is subject to approval*

Comments:

Please enter any comments or special instructions in the area below:

 

Ryan.Low@lyndonstate.edu

Phone: (802) 427-1722

Fax: (802) 626-9770 ATTN: LSC - AMS & NWA

E-mail: ams@apollo.lsc.vsc.edu

Internet: http://apollo.lsc.vsc.edu/ams

** Due to financial planning, anyone who needs special-needs assistance during the conference must contact the LSC - AMS & NWA before January 12, 2007 **