NATIONAL SOCIAL SCIENCE ASSOCIATION

National Technology and Social Science Conference
April 9-11, 2017 Las Vegas, Nevada
Speaker Registration Form


Name______________________________________Department_________________________________

Institution__________________________________Address____________________________________

City__________________________State___________________Zip______________________________

Day Phone (      )________________________ Evening Phone (      )______________________________

Fax (      )_______________________________ E-Mail________________________________________

REGISTRATION  DEADLINE:  February 6, 2017

__________ $ 305 Non or Expired Member Registration Fee - Includes new or renewal membership (late fee $320)
__________ $ 255 Member Registration Fee (late fee $260)
__________ $ 160 Student Registration Fee (late fee $185)
__________ $ 25 Discipline Copy of Social Science Proceedings Publication

Total Amount Enclosed or Charged $__________     Check #_______________     Date_________________

Make Check payable to  National Social Science Association or charge registration to credit card below.

CREDIT CARD PAYMENT:

Type of Credit Card__________________________Number__________________________________________

Expiration_____________          Security Code ________________

CANCELLATION POLICY: No registration fee refunds for cancellations 30 days prior to the meeting. All cancellations prior to 30 day deadline must be in writing, postmarked 30 days prior, and are subject to an administrative fee.


FLAMINGO HOTEL & CASINO RESERVATION

__________$90 King-size Bed __________ $90 Two Queen-size Beds
($90.00/night conference rate does not include 12% current tax)

Sharing Room with:______________________________________

Arrival: April __________                 Departure: April __________

Smoking Preference: ______ Non-Smoking     _____ Smoking
 (Please note these requests are not guaranteed, only preferences noted in your reservations)

CREDIT CARD/DEBIT CARD DEPOSIT: (NO check payment for hotel. This is the card that will be used to hold your hotel room)

Type of Card__________________________Number_____________________________________

Expiration____________         Security Code __________

TECHNOLOGY & SOCIAL SCIENCE PROGRAM SUMMARY

SUNDAY, April 9, 2017
 3:00pm - 6:00 pm              Registration
 6:00pm - 7:00 pm              Cocktail Party

MONDAY, April 10, 2017
  8:00am                            Registration
  8:00am - 8:30pm             Continental Breakfast/Exhibits
  8:30am - 12:15pm           Sessions
  12:15pm - 1:15pm           NSSA Awards Luncheon
  1:30pm - 5:45pm             Sessions

TUESDAY, April 11, 2017
  8:00am                            Registration
  8:00am - 8:30pm             Continental Breakfast/Exhibits
  8:30am - 5:45pm             Sessions

Return registration form to:

NSSA Las Vegas Technology and Social Science Conference
2020 Hills Lake Dr.
El Cajon CA 92020-1018

Phone: (619) 448-4709      Fax: (619) 258-7636      E-mail: natsocsci@aol.com