To register for the conference, please print this
page, fill out information, and mail it with check or money order payable
to ARLIS/Mountain West to:
Chris Ramsey, 5226 HBLL, Brigham Young University,
Provo, UT 84602
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| 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 | $_______ | |
| Tour of Tucson Architecture | $15.00 | Number of People
x ______ |
$_______ |
| TOTAL ENCLOSED | $_______ |
Do you require a receipt for you registration fee? Yes ____ No ____
Institution: _________________________________________________________
Address:______________________________________________________________
City, State:__________________________________________________________
Zip Code:_____________________________________________________________
Telephone: ___________________________________________________________
E-mail: ______________________________________________________________