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EAS

EAS 2013  August 5-9, 2013
West Chester Pa.

On-Line Registration

Page 1 of 6 - Contact Info and Dues


First & Last Name
Address
Address2
City
State/Province   Postal Code
Country
Day Telephone
Evening Telephone
e-mail
Do you want to receive the Journal by email?
How many people are being registered on this form? Number of name tags?

EAS Dues, includes immediate family (select appropriate type of membership below.)
1 year: $25
2 years: $45 (Journal by email)
3 years: $65 (Journal by email)
New Life Member: $250 (Journal by email)
My dues are Current, or a Life Member

EAS Dues must be current to complete registration.