Registration

To register, please fill out all appropriate areas of the form below. You will be contacted by e-mail.

Last Name:
First Name:
Title:	Dr.   Ms.   Mrs.   Mr.
Organization / School / Company Representing:
Email address:
Daytime phone:
Evening phone (optional):
Do you require overnight accommodations before or after the event? Yes  No
(An email will be sent to you regarding specially priced rooms for the weekend.)
Will you require transportation to/from Syracuse Int'l Airport? Yes  No
Will you require transportation to/from the Regional Transportation Center? Yes  No
	What arrival time (approx.):
	What departure time (approx.):
Do you prefer a vegetarian lunch option?	Yes  No
Are you an FCBA member?	Yes  No
How did you hear about the Symposium?
Additional Comments/Notes:

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©2006 Communications Law and Policy Society of Syracuse University College of Law