Registration Form 3 (2012-1)
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1. Registration Form
NORTHEAST BUSINESS & ECONOMICS ASSOCIATION
39TH ANNUAL MEETING
Danfords Marina and Hotel
Port Jefferson, Long Island, New York
October 25 to October 27, 2012
*
1
. Please complete the contact information.
Please complete the contact information.
First Name:
Last Name:
Affiliation:
Address:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
Country:
Email Address:
Phone Number:
*
2
. What is your field of expertise?
What is your field of expertise?
Accounting
Economics
Finance
Health Care Management
International Business
Law and Taxation
Management
Marketing
Pedagogy
Other
3
. Are you willing to be a session chair?
Are you willing to be a session chair?
Yes
No
4
. Are you willing to be a discussant?
Are you willing to be a discussant?
Yes
No
*
5
. Please indicate the method of payment for registration fee.
Please indicate the method of payment for registration fee.
Check made payable to the Northeast Business & Economics Association and mailed to William O'Brien.
Credit Card via Paypal account.
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