The 2005 International Rexx Symposium

R E G I S T R A T I O N    F O R M

18 April - 21 April 2005

Palos Verdes Inn in Redondo Beach

Sponsored by the Rexx Language Association

Registrant Details

Name Preferred Name
Address Affiliation
City State
Country Postal Code
Email Phone Number

Symposium Registration Options
The Earlybird Rate applies to all fully paid registrations received by the RexxLA Treasurer on or before

March 28 2005

If using postal mail for payment, ensure you allow adequate time for delivery.


Full Symposium Registration
Includes conference sessions, proceedings, lunches (Mon,Tue), Symposium Banquet (Wed), and annual RexxLA membership 		Individual Day Registration
Includes conference sessions and lunches (Mon, Tue). Does not include conference proceedings, Symposium Banquet (Wed), or RexxLA membership
Earlybird Rate US$295
Normal Rate US$345
Monday 18 April Earlybird Rate US$80
Normal Rate US$90
Tuesday 19 April Earlybird Rate US$80
Normal Rate US$90
Wednesday 20 April Earlybird Rate US$80
Normal Rate US$90
Thursday 21 April Earlybird Rate US$40
Normal Rate US$50
additional Banquet Attendees Earlybird Rate US$50
Normal Rate US$60
Banquet Attendees Earlybird Rate US$50
Normal Rate US$60
For catering purposes, banquet entrée choices are required in advance. Please specify the name and entrée choice for each banquet attendee.
Name
Name
Name
Name
For catering purposes, banquet entrée choices are required in advance. Please specify the name and entreée choice for each banquet attendee.
Name
Name
Name
Name

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

Payment Methods

Please select your method of payment:
PayPal or On-line Credit Card (Preferred method, most secure and timely)
Money Order drawn on US Bank
Personal Check drawn on US Bank
VISA or MasterCard Credit Card (via postal mail)

Register now and save!

Completing Your Rexx Symposium Registration

Press the Confirm button. This will respond with a page confirming your selections.

For all payment methods (except PayPal and On-line Credit Card), please print the confirmation page and send it with your payment to RexxLA at the address on the confirmation page.

If you want a record of your registration, please print the confirmation page.

Last updated on 2 February 2005 by treasurer@rexxla.org