Institution Registration, 72nd Eastern Colleges Science Conference, 2018
Registration should be done once by an authorized institutional representative on behalf of all participants from the institution, after abstracts have been reviewed and accepted.
Email address *
Institution *
Your answer
Institutional Representative's Name *
Your answer
Representative's Phone Number *
Your answer
List names of all Faculty/Staff attending, append (b) after their name if they will be attending the banquet. *
(sample) Leann Kanda (b); Susan Allen-Gil; Scott Ulrich (b)
Your answer
List names of all students attending, append (b) after their name if they will be attending the banquet. *
Your answer
Indicate special banquet dinner needs (if any)
Your answer
Summary
Registration for the conference is $35 per person. Banquet tickets are an additional $40 per person. Please use the spaces below to affirm totals for registrations and banquet tickets.
Count of Faculty + Student Registrations *
Your answer
Total Faculty + Student Registration Cost (Count x $35) *
Your answer
Count of Faculty + Student Banquet Attendees *
Your answer
Total Faculty + Student Banquet Cost (Count x $40) *
Your answer
Total Payment to Be Submitted (Registration + Banquet) *
Your answer
Payment Options
Payment can be made either by check, money order or voucher to Ithaca College (mailed to the address below) or by credit card (with the credit card information taken by phone at one of the numbers below). Payment is due at the time the registration information is submitted. Please address any questions to Cyndy Scheibe, scheibe@ithaca.edu or 607-274-1324.

Mailing address:
ECSC Registration
c/o Judy Smith, Dept. of Psychology
1119 Williams Hall
Ithaca College
Ithaca, NY 14850

Phone
Judy Smith - any time except the week of March 12-16
(weekdays, 8:30 am - 1:00 pm or 2:00-4:30 pm)
607-274-3304
OR
Cyndy Scheibe - week of March 12-16 (any time)
607-227-0900

A copy of your responses will be emailed to the address you provided.
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