2008 ATLANTIC MARKETING ASSOCIATION CONFERENCE REGISTRATION

Savannah Georgia

Name: Dr., Mr., Mrs., Miss, Ms._____________________________________________________

Preferred (one-word) Name for Badge:_________________________________________________

Business Address (Department):_____________________________________________________

University or Organization:__________________________________________________________

 City:_______________________________________________State:_______________Zip:______

Office Phone: (___) _________________________ Home Phone: (___) ______________________

Office Fax : (___) __________________________ Email __________________________________

Check Amount enclosed:

__________ Early Registration (by September 1, 2008 Postmark) $125.00 (Student $50)

__________ Late Registration (after September 1, 2008 Postmark) $150.00 (Student $50)

__________ Spouse/Guest Registration $50.00

Makes checks payable to ATLANTIC MARKETING ASSOCIATION. No refunds on Conference Registration. Send this form and check to:

Dr. Kathleen H. Gruben
Georgia Southern University
College of Bus. Administration
P. O. Box 8154
Statesboro, GA 30460.