The 2013 International Rexx Symposium
05 May - 08 May 2013
Raleigh-Durham Area, United States

Sponsored by the Rexx Language Association

R E G I S T R A T I O N F O R M

Registrant Details
* Name		Preferred Name
* Address		Affiliation
* City or locality		* State/Province, or "none"
* Country		* Postal Code
* Email		* Phone Number

Items marked with * are mandatory

Symposium Registration Options

The Earlybird Rate applies to all fully paid registrations posted to our PayPal account, or received by the RexxLA Treasurer and postmarked on or before:

31 March 2013

If using postal mail for payment, ensure you allow adequate time for delivery before 1 May 2013.

Attendees with a current student ID will be eligible for a 25% discount applied to their total registration amount. To receive the student discount, complete the registration process normally. Upon receipt of registration fees and validation of student ID at Symposium check-in, a check(cheque) for the discount will be issued.

Full Symposium Registration
Includes all conference sessions and proceedings.

Individual Day Registration
Includes the day of attendance conference sessions. Does not include conference proceedings.

Earlybird Rate US $75
Normal Rate US $100

Monday 06 May	Earlybird Rate	US $30
Monday 06 May	Normal Rate	US $40

Tuesday 07 May	Earlybird Rate	US $30
Tuesday 07 May	Normal Rate	US $40

Wednesday 08 May	Earlybird Rate	US $20
Wednesday 08 May	Normal Rate	US $25

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(Cheque) drawn on US Bank

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.