Midwest Economics Association Annual Meeting Registration Form
March 20-22, 2009
Marriott Cleveland Downtown


Please provide the following information to register for the Midwest Economics Association Annual Meeting.


If you would like to mail or fax your registration, please click HERE for a printable form.

General Information

First Name:        Last Name:
Institution (As you would like it to appear on your badge):
Street Address 1:
Street Address 2:
City: State (US ONLY):
Zip/Postal Code:
Country:
Telephone (Please include country and area code):
E-mail: (REQUIRED! Please be sure not to add a space before or after entering your email as this will cause an error.)

Billing Information (if paying online only - information must match credit card)

Information is the same as above

First Name (on Credit Card):   
Last Name (on Credit Card):
Street Address 1:
Street Address 2:
City: State (US ONLY):
Zip/Postal Code:
Country:
Telephone (Please include country and area code):


FEES: (Note: if you paid to submit an abstract, you have already paid your membership dues for the July 08-June 09 fiscal year.)
Membership ($10.00)  
     
Meeting Fee (Please Check One):
By March 1, 2009
After March 1
Member
$65.00
$80.00
Non-Members
$85.00
$100.00
Graduate Students
$30.00
$40.00
Undergraduate Students (membership not required)
$10.00


Additional Options:

Donation to the C. Woody Thompson Lecture Fund
This will help us continue to bring renowned speakers to convention.

Amount: $
(enter only dollars and cents, i.e. 25.00)

           

Comments or Questions regarding this form? Mail them HERE.