|
|
|
|
|
| ARLIS/MW Member | $60.00 | $75.00 | $_______ |
| ARLIS/NA Member (outside of MW region) | $60.00 | $75.00 | $_______ |
| Non-Member
(Includes one-year membership to ARLIS/MW) |
$75.00 | $90.00 | $_______ |
| Chapter Membership | $15.00 | $_______ | |
| Las
Vegas Tour
(Price included in registration fee, but please verify you will be coming) |
yes
___
no ___ |
||
| Las
Vegas Tour
Additional guest not registered for the conference |
$15.00 | Number
of guests
______ |
$_______ |
| Interested in Group Lunch - Wednesday | yes ___ no ___ | ||
| Interested in Group Dinner - Wednesday | yes ___ no ___ | ||
| Thursday Lunch Time Outings:
(Circle interested site) 1. Irish artists exhibit at the Barrick Museum 2. Robert Beckmann exhibit at Hamm Hall 3. Art Department Visual Resources Collection 4. Donna Beam Fine Arts Gallery 5. Clark County District Library Building (Michael Graves) |
|||
| Winberta Wao Travel Award Donation | $_______ | ||
| TOTAL ENCLOSED | $_______ |
Do you require a receipt for your registration fee? Yes ____ No ____
Institution: _________________________________________________________
Address:______________________________________________________________
City, State:__________________________________________________________
Zip Code:_____________________________________________________________
Telephone: ___________________________________________________________
E-mail: ______________________________________________________________