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Enter Registrant Information

Please enter the requested information below to register for the conference. You will submit payment on the following page.
Fields with a ' * ' are required.
Title
First Name *
Last Name *
Organization/Company *
Job Title *
Email *
Re-Enter Email *
Work Phone *
country code
(if applicable)
area code
phone number
Mobile Phone
Dietary Restrictions
(for Conference Meals)
Other Special Needs

Enter Billing Address
Number and Street *
City *
State *
Zip Code *
Country *
Billing Phone *
country code
(if applicable)
area code
phone #

Mailing Address (If different from Billing Address)
Number and Street
City
ZipCode
Country

Select Conference Dates
Dates Type Includes Price
Wednesday, November 12, 2008 -
Friday, November 14, 2008 		Full Registration All conference meals (8) and activities $549
Wednesday, November 12, 2008 Day 1 only Breakfast, Lunch, Dinner and evening activities $249
Wednesday, November 12, 2008 Day 1 only Breakfast and Lunch only $199
Thursday, November 13, 2008 Day 2 only Breakfast, Lunch, Dinner and evening activities $249
Thursday, November 13, 2008 Day 2 only Breakfast and Lunch only $199
Friday, November 14, 2008 Day 3 only Breakfast, Lunch and post-conference activities $199

Enter Special Registration Code

Special Registration Code



Companion Meals
Description:
Registered guests may sign up their spouses and traveling companions to receive all meals provided at the conference. You may select the Breakfast/Lunch Option, Dinner Option, or All Meals Option. At the prices determined below, you will receive 3 Breakfast meals and 3 Lunch meals, or our 2 Dinner meals (both the Autry Museum Dinner and the Gala Dinner), or receive all 8 meals together. The prices below include all applicable taxes and gratuity.

Companion Meals Options Price
All Conference Meals Option $284
Breakfast (3) and Lunch (3) Option $186
Dinner (2) Option $98

The information you supply on the registration form will be shared and used between the organizing committee of the Los Angeles International Earthquake Conference and EMI for the purposes of this event and for notification of subsequent events. You are entitled to ask Conference Management for access to, and to correct, your personal information. Unless you request otherwise, your name and contact information will be included in the list of participants in the conference program, which will be distributed to those attending the conference.





   
Conference Detail : Registration | Conference at a Glance | Share Fair | Sessions and Activities
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