DIAC-2008 Registration

This form can be submitted electronically or via postal mail. Registration fees can be paid by check, wired to the conference account, or paid by credit card. See instructions below for each option. (And please consider making a tax-deductible donation!)

Conference Registration	Online and Onsite Registration June 21, 2008 — June 29, 2008
Low-income / student CPSR member		$80
Low-income / student & new CPSR membership		$110
Low-income / student non CPSR member		$115
Regular CPSR member		$170
Regular & new CPSR membership		$185
Regular non CPSR member		$220

A copy of the proceedings will be provided to each attendee. Please include $20 for each additional copy purchased.
$ enclosed for additional copy / copies.

We have purposefully kept registration fees low. Please consider making an additional donation. Thank you!

CPSR donation $ Public Sphere Project (of CPSR) donation $

Total (registration + extra proceedings + donations) Amount (required) : $

Indicate payment method (required) : Credit Card Wire transfer Check

Given name: Surname (required) :

Affiliation: Email (required) :

Name to be printed on name tag:

Address:

Please check here if you are a journalist

If you are registering as a journalist, please tell us your affiliation:

Please check here if your registration fee has been waived

Please list any goals or objectives that you have for the conference.

In order to make this symposium as useful for you as possible, we'd like to know any topics and or issue that you'd like to see addressed at the conference. We can't guarantee satisfaction but we'll do our best!

Mailing Instructions

Print and fill out this registration form and mail it and a check payable to "CPSR / Public Sphere Project" to:
DIAC-2008 Registration / 2202 N. 41st Street / Seattle, WA 98103.

Wiring Instructions

You can wire registration fees to us using the following banking information.

       Account Number: 472021011763
       Bank Routing/ABA Number: 125000574
       Swift / IBAN number is KEYBUS33
       Name: CPSR INC
       Attention: Douglas Schuler
       KeyBank: 1300 NE 45th St Seattle, WA 98105

If you do wire your fees, please also send a filled out registration form to us at the address above or via email.

Credit Card Instructions

Submit this form electronically and go to our secure payment system to pay the registration fee and other charges using your credit card.