Event Registration Form

Registration Form

Be sure to register early because space is limited!
Name

First NameLast Name
Organization
E-mail
Phone Number

Area CodePhone Number
Job Title
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Enter the message as it's shown*
To register, please choose (1) Pay by Check, (2) Pay by PayPal, or (3) Student (free). AIDE will accept checks at the registration table on the day of the conference or via US mail (to AIDE, PO Box 75051, Charleston, WV 25375).
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Professional Pay By PayPal$60.00
Professional Pay by Check $60.00
Student Free
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