Taughannock Falls, Ithaca, New York

NELS 49 Registration

Please fill out the following form and click "Submit", below. Once the form has been submitted, you will be redirected to our payment page. You should also receive a confirmation e-mail which links to the payment page.

Registration is now closed. The form below is left for archival purposes only.

First Name

Last Name

Name (as printed on nametag)

Participant E-Mail

Affiliation

Gender

Male

Female

Other

Prefer not to say

Will you attend the conference dinner?

Yes

Dietary Restrictions

Vegetarian

Vegan

Gluten-free

Nut-free

Accessibility Requirements

Payer name (on credit card or check)

Payer E-mail

Registration Fee

Student ($55 before Aug. 15; $65 after)

Non-Student ($135 before Aug. 15; $175 after)

Total Amount Paid

.00