Please use the form below to register for American Associations Day (March 14-15, 2012). If you have any questions, please call Robert Hay at 202-626-2788 or rhay@asaenet.org.

	Name:
	Title:
	Organization:
	ASAE Member Number:
	City and State:
	Zip Code:
	E-mail:
	Phone:
	Congressional District/Representative:
	Travel Scholarships:	Yes No
I will only be participating on March 15th .
Yes No
I will attend the ASAE Board reception on March 14th.
Yes No

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