The 2016 International Rexx Symposium
28-31 August, 2016
Tampa, Florida, USA.

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:

August 15, 2016

If using postal mail for payment, ensure you allow adequate time for delivery before August 15th, 2016.

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 $30
Normal Rate US $60

Monday, August 29th	Earlybird Rate	US $10
Monday, August 29th	Normal Rate	US $20

Tuesday, August 30th	Earlybird Rate	US $10
Tuesday, August 30th	Normal Rate	US $20

Wednesday, August 31st	Earlybird Rate	US $10
Wednesday, August 31st	Normal Rate	US $20

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

Scheduled Speaker

Completing Your Rexx Symposium Registration

Press the Confirm button. This will respond with a page confirming your selections.

For all payment methods (except PayPal, On-line Credit Card and Scheduled Speaker), 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.