Rocky Mountain Educational Research Association
Annual Meeting – October 23-25, 2014
University of West Florida
Hampton Inn, Pensacola Beach, Florida
Registration Form
Early Registration Fees: (√ appropriate type)
_____ $110.00 Member Registration (includes 2-day conference, Thursday box luncheon, & reception)
_____ $ 55.00 Member Registration (includes Friday morning conference only)
_____ $75.00 Student Membership (includes 2-day conference, Thursday box luncheon & reception)
_____ $25.00 Keynote Session with Formal Luncheon Under the Blue Angels and Bus Transportation to
Naval Air Museum on Friday from the Hampton Inn and return (11:00am -4:00pm)
Payment for Early Registration must be received by September 23, 2014. Please make checks
payable to “University of West Florida—RMERA Conference”
NOTE: Registration after September 23, 2014 will be $125.00, so you are encouraged to preregister!
Name: __________________________________________________________________________
Institutional Affiliation: ___________________________________________________________
Department or Office:
___________________________________________________________
Mailing Address:
___________________________________________________________
City/State/Zip:
_______________________________________, _________
E-mail Address:
___________________________________________________________
Phone:
Work: _____________________________
________
Cell/Home: __________________
Registration Remittance:
_____ $110.00 Member Registration (includes 2-day conference, Thursday box luncheon, & reception)
_____ $ 55.00 Member Registration (includes Friday morning conference only)
_____ $75.00 Student Membership (includes 2-day conference, Thursday box luncheon, & reception)
_____ $25.00 Keynote Session with Formal Luncheon Under the Blue Angels and Bus Transportation to
Naval Air Museum on Friday from the Hampton Inn and return (11:00am-4:00pm)
TOTAL CONFERENCE REMITTANCE: $_________
Mail Registration Form and Check made out to: “UWF RMERA 2014 Conference” for payment to:
Dr. Carla Thompson (cthompson1@uwf.edu)
Research and Advanced Studies, Building 78, Office 121
University of West Florida
11000 University Parkway
Pensacola, Florida 32514
For more information concerning registration, please email Dr. Thompson or call, Tuesday-Friday
(8:00am-4:00pmCST) Nancy Fuson, UWF Office Administrator: (850) 474-2251.