2015 NASPSPA Conference Registration (June 4-7, 2015)
Portland Hilton & Executive Towers (Conference Starts on Thursday am)
Fax completed form to secure fax line: 217-351-1549
First Name_________________________Last Name _______________________________
University or Affiliation
__________________________________________________________
Mailing Address ____________________________________________________________________________________
City____________________________State/Prov______________Zip/Postal_____________
Country ______________Phone ________________ Email __________________________
CONFERENCE REGISTRATION FEE (IN $US) – Note you must be a member to register.
Professional Student
Retired
By April 1
By May 15
After May 15 & On Site
$320
$350
$390
$180
$220
$280
$180
$220
$280
Pre-Conference Workshops on Wednesday, June 3
 Workshop 1 Cost: $15, 2:30-6:30 pm. Part 1 introduces factor analysis and structural equation models.
Part 2 addresses advanced issues in structural equation modeling. Presenters: Brian French, Washington
State Univ. and Holmes Finch, Ball State Univ.
Attend? Yes No
 Workshop 2 Cost: $15, 2:30-5:30 pm. Strategies for securing external grant funding, with emphasis on
mid (or late)-career scholars without a previous grant track record.
Attend? Yes No
Thursday night Happy Hour/Reception (one ticket is provided with your registration)
 How many extra tickets do you need ($15)? ____
Friday Awards/Business Luncheon (one ticket is provided with your registration) Attend? Yes No
Saturday Night Dinner Party/Banquet (one adult ticket is provided with your registration)
 MUST ANSWER: Will you attend? Yes No # of extra adult tickets needed ($50)? ___
 How many child tickets (under 12 years old) do you need ($20)? ____
Student Events:
 Thursday Lunch Student-Faculty Roundtable: Will you attend? Yes No # tickets? ($10) ____
 Friday Night Student Social:
Will you attend? Yes No # tickets? ($10) ____
Questions:
 Is this your first time attending the NASPSPA annual meeting? Yes No
 How would you like your name to appear on name badge? ___________________________________
 How would you like your institution/affiliation to appear on name badge?________________________
 Do you require a vegetarian or gluten free meal for provided meals?
Gluten Free
Vegetarian
Payment Summary:
Registration Fee (fill in amount from table above)
$_________
Workshop 1: Statistics ($15)
$ _________
Workshop 2: Grant Funding ($15)
$ _________
Happy Hour/Reception Extra Ticket ($15 each)
$ _________
Saturday Night Dinner Party Extra Adult Ticket ($50 each)
$ _________
Saturday Night Dinner Party Child (under 12 years old) Ticket ($20 each)
$ _________
Student-Faculty Roundtable Tickets ($10 each)
$ _________
Student Social Tickets ($10 each)
$ _________
Total $ _________
Circle Credit Card Type: MC Visa AmEx
Card Number ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___
Card Holders Name _____________________________________ (Please print)
Exp: _________