EAS 2014 July 28 - August 1, 2014
Page 1 of 6 - Contact Info and Dues
Speaker code (
Country (if not USA)
Preferred phone #
Emergency Contact Name and number
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.