2014 Glass Art Society Conference Registration & Membership Form
Chicago, IL March 19-22, 2014 - Strengthening Community, Collaboration, Forging New Bonds
Register by January 7th for the lowest rate! EXTENDED TO JANUARY 15th
Registration NOT accepted via telephone
Confirmation & Cancellation info: www.glassart.org
QUESTIONS info@glassart.org
T: 206-382-1305 Mon-Fri 9-5 PST
OFFICE USE ONLY: DATE
TOTAL $
CHK/APPR
MEMB
REG
1. PERSONAL DATA PRINT LEGIBLY
Please mark all that apply to you:
First & Last Name
[ ] Artist (sub-categories) __commissions
Company
__casting
__kilnforming
Address
City
__coldwork/engraving
__leaded/stained
__beadmaking
__flameworking
__neon
__architectural/public art
__fusing/slumping __glassblower
__painting
__other
[ ] Manufacturer/Supplier (sub-categories) __ mosaic/stained glass tools/supplies
State
Zip/Postal
Country
Tel:
__casting tools/supplies
__flameworking tools/supplies
__coldworking tools/supplies __kilnforming tools/supplies
__furnaces/annealers
__hot glass tools/supplies
[ ] Educator (types of classes you teach)
Email
__undergraduate/graduate __studio workshops/classes
__highschool/youth classes __summer program
[ ] School (classes your school/studio offers) __undergraduate/graduate
__studio workshops/classes
__highschool/youth classes __summer program
Website
[ ] Omit my contact information from online & print Membership Directory
[ ] Omit my contact information from the sale of mailing lists.
[ ] Collector
[ ] Museum
[ ] Gallery Owner
[ ] Hotshop Owner
[ ] Press/Critic
2. GAS MEMBERSHIP / CONTRIBUTIONS Must be current member through March 2014 to attend the conference.
[ ] My GAS membership is current through March 2014 (to be confirmed by GAS Staff).
[ ] I would like to Join/Renew my membership at the level checked below:
___ $70 USD Individual
___ $40 USD Full-time Student* Student ID or other proof required:
SCHOOL ATTENDING ________________________________
Upper Level Memberships can have two members. Please list the
2nd Member & their email. _________________________________
___ $120 USD Sponsor
___ $275 USD Corporate/Business
___ $500 USD Patron
___ $1,000 USD Benefactor
Make a Contribution: Full descriptions at www.glassart.org.
$_______ General Conference Contribution
$_______ Dominic Labino Lecture Fund
$_______ Sy Kamens Education Fund
$_______ GAS Fund in CERF
$_______ Hilbert Sosin Fund for Professionalism
$_______ Takako Sano Scholarship Fund
$_______ General Scholarship Fund
$_______ Robert Willson Fund
$_______ Becky Winship Flameworking Scholarship Fund
$________ GAS MEMBERSHIP & CONTRIBUTIONS SUBTOTAL
3. CONFERENCE REGISTRATION Must be a current GAS member through March 2014 to register and attend, see step 2.
FULL CONFERENCE PASS
DAY PASSES TO THE CONFERENCE
Includes all lectures; panels; demonstrations; Opening Ceremony &
Reception; Closing Night Party, Gallery Hop, & other events during the
conference EXCEPT special events & tours with additional fees.
For those wishing to attend only 1 or 2 days. Includes lectures, panels,
demos, and other events ONLY taking place on the day or days for which
you register EXCEPT special events and tours with additional fees.
Early Bird Pre-Registration: October 2013 – January 15, 2014 (was 7th)
#__$165 USD per Full-time Student* member (ID or other proof required)
#__$295 USD per Individual member
#__$95 USD per Full-time Student* member / per day
#__$170 USD per Individual member / per day
[ ] Corporate Member Discount: $221 (25% off 1 pass)
[ ] Patron Member Discount: $148 (50% off 1 pass)
[ ] Benefactor Member Benefit: $0 (1 free pass)
Pre-Registration: January 16, 2014 - March 8, 2014
#__$195 USD per Full-time Student* member (ID or other proof required)
#__$350 USD per Individual member
[ ] Corporate Member Discount: $263 (25% off 1 pass)
[ ] Patron Member Discount: $176 (50% off 1 pass)
[ ] Benefactor Member Benefit: $0 (1 free pass)
Circle day or days attending:
THURSDAY
FRIDAY
SATURDAY
PLEASE NOTE: We are unable to process registration forms received in
the GAS office after March 8, 2014. After March 8, register on-site for Full
Conference Pass at $395 USD per member / $250 USD per Full-Time
Student member*. Day Pass fees do not change.
$________ CONFERENCE REGISTRATION FEES SUBTOTAL
Page 1
4. CLOSING NIGHT PARTY VOUCHER
Your full conference pass or Saturday day pass includes entrance in to the Closing Night Party at the amazing Chicago Cultural Center on Saturday,
March 22 from 9pm-midnight. Due to city regulations, the Cultural Center is not allowed to offer a cash bar. This year for conference attendees to enjoy
beverages at this event, you will need to purchase a Closing Night Party Voucher with tear-off tickets for three drinks. For guests of conference
attendees who are not registered for the conference, or Thursday or Friday day pass registrants this voucher serves as the entrance and beverages
ticket. This event is not open to the general public.
#___ $20 USD for Conference Attendees with either a Full Conference Pass or Saturday Day Pass
#___ $60 USD for Guests of conference attendees or those registered with a Thursday or Friday Day Pass
$________ CLOSING NIGHT PARTY PASS SUBTOTAL
5. PRE-CONFERENCE RECEPTION FUNDRAISER - Wednesday, March 19, 2014
Not included in conference registration fee. You may register for the Pre-Conference Reception without registering for the conference. Space is limited to
250 attendees. If the maximum have reserved you will be placed on a waiting list and will not be charged the fee until space is available.
#___ $200 USD Pre-Conference Reception Fundraiser: MEMBER, Wednesday March 19, Ignite Glass Studios, 6pm-10pm
#___ $225 USD Pre-Conference Reception Fundraiser: NON-MEMBER, Wednesday March 19, Ignite Glass Studios, 6pm-10pm
$________ PRE-CONFERENCE RECEPTION SUBTOTAL
6. COLLECTORS TOUR - Wednesday, March 19 to Saturday, March 22
Tour price includes: a full conference pass, the Pre-Conference Reception fundraiser, Closing Night Party Voucher, plus admission fees & ground
transportation to all events listed for the tour at www.glassart.org, most lunches and most dinners, and VIP seating for special events.
#___ $1,325 USD Collectors Tour: MEMBER Wednesday, March 19 to Saturday, March 22
#___ $1,420 USD Collectors Tour: NON-MEMBER Wednesday, March 19 to Saturday, March 22
$________ COLLECTORS TOUR SUBTOTAL
7. TOTAL TO BE CHARGED OR CHECK ENCLOSED
$__________ GAS MEMBERSHIP & CONTRIBUTIONS SUBTOTAL
$__________ CONFERENCE REGISTRATION FEES SUBTOTAL
$__________ CLOSING NIGHT PARTY PASS SUBTOTAL
$__________ PRE-CONFERENCE RECEPTION SUBTOTAL
$
COLLECTORS TOUR SUBTOTAL
$_________TOTAL AMOUNT (sum of sections 2-6 above. All fees in USdollars)
8. PAYMENT INFORMATION
Preferred method of payment is by credit card to give you the best exchange rate.
Payment must be made to the Seattle GAS office in US dollars and will appear on your credit card statement in your own currency.
[
]Visa or Master Card: # _ _ _ _ - _ _ _ _ - _ _ _ _ - _ _ _ _ Expiration Date _ _ / _ _ Signature ______________________________________
[
]Personal Check drawn from a USA bank only. Due to the high cost of processing checks drawn on non-USA banks, we cannot accept them.
Checks must be made out to the “Glass Art Society” for the appropriate amount only.
[
]Wire transfer (for instructions, contact the GAS office, additional fees apply)
REGISTRATION IS AVAILABLE ONLINE AT WWW.GLASSART.ORG
MAIL THIS FORM TO: Glass Art Society, 6512 23rd Ave NW, Suite 329, Seattle, WA 98117 USA
FAX THIS FORM TO: 206-382-2630
GAS IS NOT ABLE TO ACCEPT REGISTRATION VIA TELEPHONE
CONFIRMATION
CANCELLATION POLICY
 An email confirmation of your registration will be sent within 2 weeks of
 Cancellations received in writing before January 8 January 15, 2014 will

our receipt of your registration form (or to the address provided if no
email given).
Please contact the GAS office if you have not received confirmation
within a month of sending your registration.
receive a full refund.
 Any changes to registration received in writing January 16 – March 8,
2014 will be subject to a $35 administrative fee.
 There will be no refunds after March 8, 2014.
Membership fees are non-refundable.
QUESTIONS - INFO@GLASSART.ORG or CALL 206-382-1305, Monday-Friday, 9am - 5pm PST.
Page 2