Registration Fee (before 7/23/07) $175
Registration Fee (after 7/23/07)   $225
Companion/SSP Registration Fee  $100


Payment Method: Please check one:
Purchase Order: PO#
Check: (payable to MSU-RRTC)
Visa:
MasterCard:

I request materials in: (choose one)
Regular Print
Large Print
Braille
3.5 Floppy
CD

Assistive Listening Devices available upon request. Please indicate preference:
FM
Infrared
Other (Please Specify)

Are interpreting services required?
Yes, I need:
Tactile
Platform
Platform in close proximity
No, I do not need interpreting services

Indicate communication preference you will need provided:
ASL
English Contact (formerly PSE)
CART System (Communication Access Real-time Translation)
Other (Please Specify)
I do not need communication assistance

If you request communication services, you must notify us by August 1st or we may not be able to secure appropriate interpreters. Please indicate the exact time you will need interpreters (i.e. arrival and departure times).

Cancellation policy: You must contact us by August 12th for cancellation or a 1 day interpreter fee will be passed on to you.

Are Support Service Provider (SSP) services required?
Yes
No, I will be bringing my own
No

Will you be bringing a companion to assist with communications and special needs? If yes, please have companion register using the special rate listed above.
Yes
No

Special Needs: