
Information and Cancellation Policy
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Name (as you would like it to appear on a name badge)
Affiliation (for name badge)
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Street Address
City
State
ZIP
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Phone
Fax
E-mail address
Registration Fee
Full Registration Fee is $100 _____
One-day registration fee is $75 _____
Graduate student registration fee is $75 _____
Guest Fee
Name as you want it to appear on the name badge
A standard room is $109 per night; a deluxe room is $129. For reservations please call 1-800-537-8483. The hotel's website is: www.eastlandparkhotel.com[.]
1. Tickets for the Lobster Bake on Friday night are $50 per person.
This includes transportation to and from the Stone House;
guests at the Lobster Bake will also have the option
of a brief shopping excursion to L.L. Bean in nearby Freeport. This event
will sell out, so please register early. Space is limited to 75 persons.
_____ Lobster _____ Vegetarian Kabob ($35)
_____ Steak
__ Lobster Bake - Friday, October 27 from 5:30 to 9:00 PM $ _____________
2. Banquet - Tickets for the NEASECS Banquet on Saturday night are $35 per person. $ ___________
3. __ Tickets for Sunday's hour-long tour of Portland's historic and cultural sites are $12. They include a stop at Portland Headlight. Please contact Mainely Tours at 207-774-0808. $ ___________
Please total all fees and enter here: $ ___________
Payment
All registrations must be accompanied by full payment.
__ Check (made payable to the University of Southern Maine)
__ MasterCard __ Visa __ Discover
Card Number Expiration Date
Name as it appears on card
__ Purchase Order -- purchase order #_____________________
Signature
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Special Requests
__ Vegetarian _____ Other special dietary needs
__ Accessibility needs