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Association for Symbolic Logic
May 23 - 26, 2016
University of Connecticut, Storrs, CT


You may submit this form online or print it and return it, by mail or fax, to:

Association for Symbolic Logic, Box 742, Vassar College, 124 Raymond Avenue, Poughkeepsie, NY 12604 USA, Fax: (845)437-7830

Name :
Affiliation (For Badge)
Address 1:
Address 2:
City, State - Zip:
E-mail Address:

Registration Fees in US Dollars

Member - $35
Emeritus and Retired Members- Free
Outreach Member - Free
Unemployed Member - Free
Student Member - Free
Non Member - $40
Student Non Member - Free
Add $10 for Non student registrations postmarked after April 22, 2016


Check or Money Order (in US dollars drawn on a US bank, made payable to the Association for Symbolic Logic)
Credit Card Type
Credit Card Number
Expiration Date Name as it appears on credit card

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