Name:
Affiliation/
School:
Address for
Journal
mailing:
Email:
Emergency
Contact
Information:
(This will
be kept
private)
Dates anticipated attending:
Have you submitted a
paper for presentation?
Preferred presentation day
and time (this cannot be
guaranteed):
There is a discount for multiple
registrations from the same institution.
Please list the other presenters from your
institution.
If you are a presenter, please fill in a
maximum five sentence paper abstract
here for the program schedule. If you are
not presenting, please enter 'none'.
If you are a presenter, please fill in your
maximum three sentence biography here
for the program schedule. If you are not
presenting, please enter 'none'.
Will you be requesting
on-campus housing for
the conference?
51st Annual Summer Conference
REALIA 2011
July 31st – August 3rd
University of Hartford
West Hartford, Connecticut
$
315 per attendee
$
50
per
p
erson
discount
if
multiple
registrants from the same
institution
$125 on campus housing
available
for entire conference (we are
unable to
offer rooms per day)
Payment is expected at registration and will be requested when
you submit this form. You are not registered until your fees have
been paid.