The 10th International Rexx Symposium
Registration Form

3-5 May 1999 	Jacksonville, Florida USA
To register for the Rexx Symposium, print this form, complete it, and mail it with the appropriate registration fee to the address below. (Please print legibly or type.)
Name :
Affiliation :
Address :
:
City : State :
Country : Postal Code :
Email :
Telephone :

Mark the box to the right of each registration option that is applicable.
Before April 16 After April 16
Full Symposium Registration1
Full Participant $185 [__]
Student3 $ 90 [__]
Full Symposium Registration1
Full Participant $240 [__]
Student3 $120 [__]
Single Day Registration2
Monday $50 [__]
Student3 $30 [__]
Tuesday $50 [__]
Student3 $30 [__]
Wednesday $50 [__]
Student3 $30 [__]
Single Day Registration2
Monday $70 [__]
Student3 $40 [__]
Tuesday $70 [__]
Student3 $40 [__]
Wednesday $70 [__]
Student3 $40 [__]
Symposium Dinner
Per Person $35 [__]
Symposium Dinner
Per Person $45 [__]

Notes:
1 Includes conference sessions, proceedings, Symposium Dinner on Tuesday, and annual RexxLA membership
2 Includes conference sessions and annual RexxLA membership, but does not include proceedings or Symposium Dinner
3 Must be full-time student and include photocopy of valid and proper student ID with registration

RexxLA Membership Confidentiality Rules
The RexxLA membership list is CONFIDENTIAL.
The Rexx Symposium attendees list is available only to attendees.
Access to the REXXLA listserver is limited to members only.
[__] Mark this box if you DO NOT want access to the REXXLA listserver.

Completing Your Rexx Symposium Registration
Mail completed registration documents and registration fee to the address below.
Registration fee may be remitted by VISA or MasterCard, personal check drawn on US bank, or money order.
All funds must be in US dollars and payable to Rexx Symposium.

Register before 16 April and save!

Symposium Registration
RexxLA
P.O.Box 14472
Research Triangle Park, NC 27709-4472
USA
Credit Card Payment
Type VISA [__] Mastercard [__]
Account :
Expires :
Signature :
Note: Transaction will appear as a payment to Aviar,Inc.

If you have any questions, write to the above address or email info@rexxla.org for assistance.