MCAA

Registration & Membership Form

Please complete this registration form with your information.
Then print out the form, and mail or fax it to EASC:
MCAA 2000, East Asian Studies Center
Indiana University, Memorial Hall West 207
Bloomington, IN 47405
Fax: 812-855-7762
(Online payment will be available soon.)

  Registration Fee (check appropriate box)

Professional, Member $35($40 after September 10^th)
Professional, Non-member $45($50 after September 10^th)
Student, Member $15($20 after September 10^th)
Exhibitor $50
Pre-collegiate teacher $0(paid by MCAA)

  Banquet

Saturday, October 7th = $22.00,
Number of dinner guests @$22.00

Note: Welcome reception (Friday, October 6th) is free.

  MCAA Annual Dues

Annual Dues = $10.00

  Member Information

First Name

Last Name

Institution

Address

City

State/Province

Zip code

Office Telephone

Home Telephone

Fax Number

Email Address

  Membership Directory

Academic Discipline

Geographic Area of Interest

Continuing Member | New Member | AAS Member

  Payments(s) Enclosed

  Encolsed is a check made payable to MCAA.

Registration $___ + Banquet $___ = Total $____

  Enclosed is a check made payable to MCAA

MCAA Dues = $10(Disregard if already paid)

  Payment by credit card: Type of Card

VISA    Master Card    Discover

Total amount to charge to credit card

Name on credit card

Credit Card Number

Credit Card Expiration Date

Authorized Signature

________________________________________________________________
Special Accessibility Accommodation Request(s) Please respond before September 22, 2000


Registration Fee (check appropriate box)

Professional, Member $35($40 after September 10^th) Professional, Non-member $45($50 after September 10^th) Student, Member $15($20 after September 10^th) Exhibitor $50 Pre-collegiate teacher $0(paid by MCAA)

Banquet

Saturday, October 7th = $22.00, Number of dinner guests @$22.00 Note: Welcome reception (Friday, October 6th) is free.

MCAA Annual Dues

Annual Dues = $10.00

Member Information

First Name
Last Name
Institution
Address
City
State/Province
Zip code
Office Telephone
Home Telephone
Fax Number
Email Address

Membership Directory

Academic Discipline
Geographic Area of Interest

Continuing Member \| New Member \| AAS Member

Payments(s) Enclosed

Encolsed is a check made payable to MCAA.
Registration $___ + Banquet $___ = Total $____

Enclosed is a check made payable to MCAA
MCAA Dues = $10(Disregard if already paid)

Payment by credit card: Type of Card

VISA Master Card Discover
Total amount to charge to credit card
Name on credit card
Credit Card Number
Credit Card Expiration Date
Authorized Signature ________________________________________________________________ Special Accessibility Accommodation Request(s) Please respond before September 22, 2000