Registration for the Thirty-Fourth Annual Northeastern Storm Conference

March 6-8, 2009


Registration Deadline: February 13, 2009


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:   ***NOTE: This is used for confirmation


Pricing Options:

Please select each of the box for your pricing options:

Note: The following prices do not include lodging**

Are you a student? Yes No

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

The following prices include:

All proceedings, registration, 2 breakfasts, Saturday lunch, and the Banquet: $130.00 per Professional / $115.00 per Student.

All proceedings, registration, no breakfasts, Saturday lunch, and the Banquet: $110.00 per Professional / $95.00 per Student.

All proceedings, registration, 2 breakfasts, no Saturday lunch, and the Banquet: $110.00 per Professional / $95.00 per Student.

All proceedings, registration, 2 breakfasts, Saturday lunch, and no Banquet: $110.00 per Professional / $95.00 per Student.

All proceedings, registration, 2 breakfast, no Saturday lunch, and no Banquet: $90.00 per Professional / $75.00 per Student.

All proceedings, registration,no breakfast, Saturday lunch, and no Banquet: $90.00 per Professional / $75.00 per Student.

All proceedings, registration,no breakfast, no Saturday lunch, and Banquet: $90.00 per Professional / $75.00 per Student.

All proceedings, registration,no breakfast, no Saturday lunch, and no Banquet: $60.00 per Professional / $50.00 per Student.

Check if you have guests staying in the hotel with you that are not attending the conference but would like one of the following, please check the appropriate box(s):

Price for 2 breakfasts: $20.00 per person

Price for Saturday lunch: $20.00 per person

Price for the Banquet only: $30.00 per person

Guest's Name:

Guest's Organization:

** If you plan on having more than one guest please contact Hayley Lapoint by e-mail Hayley.Lapoint@lyndonstate.edu or by phone (978)-302-4166

Banquet Main Course Selections(choose one):

Chicken

Fish

Beef

Vegetarian


Springfield Marriott Lodging Rates:

Single:  $97.00
Double: $97.00
Triple:  $97.00
Quad:  $97.00

-If you wish to register a room at the Springfield Marriott for the 34th Annual Northeastern Storm Conference, you may do so by calling the Marriott directly at 1-800-228-9290 or 413-781-7111. Reservations must be received on or before February 13, 2009 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 30, 2009

LSC Alumni Reception

For LSC alumni only:
LSC Alumni: Please check this box if you are planning on attending the Alumni Reception at the conference.

Method of Payment:

***In order for your registration to be complete we must receive your payment before March 1st.*** 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.***

  • Call Treasurer Anthony McGee at (603) 682-2506 with your credit card information.

Credit Card Information we need:

  1. Name of person on the card exactly as it appears
  2. Credit Card Number
  3. Expiration date 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 15, 2009 to:

Hayley Lapoint
LSC - AMS & NWA President
Lyndon State College
LSC Box 7245
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:

 

Hayley.Lapoint@lyndonstate.edu

Phone: (978) 302-4166

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 14, 2009 **