Louisiana Museums - LAMcon Registration Form

REGISTRATION FORM:

*Please contact us if you are interested in bringing pamphlets for your museum, and/or

having a display table for your museum at the Monday evening Reception

Conference Hotel Information:

Drury Inns & Suites Baton Rouge

7939 Essen Park

Baton Rouge, LA 70809

225 766-2022

Group reservation number: 2126627

LAMcon 2012

PO Box 4434

Baton Rouge, LA 70821.

Fax: 225.219.0728

For more information, call the LSU Rural Life Museum at 225.765.2437 or email to: info@louisianamuseums.org

Name & professional title: __

Institution: _ ____________________________________

Mailing address (P.O. Box/Street, City, State, Zip)

Phone Email_ _____________

Please check all that apply:

___ LAM member

___ I am a new LAM member; signing up today

___ Student

EARLY REGISTRATION (due by March 16, 2012)

Full Conference: Sunday, Monday, and Tuesday (INCLUDES ALL EVENTS)

LAM Member $125

___ Non LAM Member $150 (includes individual membership)
___ Student with ID $25

REGULAR REGISTRATION (due by April 20, 2012)

Full Conference: Sunday, Monday, and Tuesday (INCLUDES ALL EVENTS)

LAM Member $140

___ Non LAM Member $165 (includes individual membership)
___ Student with ID $25

SINGLE DAY REGISTRATION
___ Monday (Sessions Only) $75
___ Tuesday (Sessions Only) $75
___ Award Luncheon (Monday @ Noon) $35

Payment: Total amount $____________________

Make checks payable to LAM

I prefer MasterCard _ Visa _

Card number_________________________________________

Expiration date __________________________ cvv #___________________________

Name on card ____________________________ phone #_____________

Card billing address (P.O .Box./Street City, State, Zip

________________________________

_______________________________________________________________________

All credit cards will be processed at the conference.

Louisiana Association of Museums