First Name: ___________________________ Last Name:________________________________
E-Mail: ______________________________
Address:________________________________________________________________________
City: _________________________________ State: ____________ Postal Code:____________
Country:______________________________
Phone:_______________________________ Fax:__________________________________
Affiliation:__________________________________________________________________
Registration Fees: (Does not include housing)
ACEI Members
Item Check Payment Options
Conference Registration
$140
Advanced Registration (until 05/21/04)
Student Registration
$100
Credit Cards or Checks drawn on US accounts
Conference Banquet
$70
Professor Neil Alper
Non-ACEI Members
Executive Secretary-Treasurer, ACEI
Conference Registration
$250
Department of Economics
Student Registration
$175
Northeastern University
Conference Banquet
$70
Boston, MA 02115 USA
ACEI Membership
ACEI@neu.edu or Fax: +01-617-373-3640
2004 Full Membership
$90
2004-2005 Full Membership $165
print this form and mail or fax
2004 Student Membership $65
to the number above
Total:________________
Credit Card # ____________________________________ (V/MC)
Expr. Date: (MM/YY):_________________
On-Site Registration (06/02/04)
Checks drawn on US accounts or Cash
*** The academic program starts on June 3, 2004. The Executive
Board meeting, advanced
registration and opening reception
will be held on June 2, 2004.