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Two Day Conference Fee $30
One Day Conference Fee $20
Student Conference Fee $15
First Time Attendee no charge
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Basic Renewal $37
Patron Member $65
Student Member $15
Emeritus Member with Journal $25
Emeritus Member without Journal $15
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Vegetarian Banquet Meal $20
Non-Vegetarian Banquet Meal $20
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I will pay online at paypal by September 5 using this link: https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=WZRKMXC2EV4Q6
I will mail a check to ICA (c/o Eric Upmeyer, Vinton-Shellsburg High School, 210 W 21st. St. Vinton, IA 52349)
I will pay at ICA
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Name
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Affiliation
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Professional Address
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Email address
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Cell Phone/Home Phone Number
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Conference Registration Fees
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ICA Membership Dues
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Banquet
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Additional Banquet Request: Please indicate the number of additional banquet requests and the menu choice. Each additional ticket is $20.
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Method of Payment
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Total Due
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