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IAPL 2012 CONFERENCE REGISTRATION

Online Credit Card Payment

• Registration Payments for IAPL 2012 in Tallinn (Estonia) can now be completed.
• Please log in first.
• If you have been invited to be on the conference program or plan to attend the IAPL 2012 Conference, please complete your registration as soon as possible, and in any case, prior to February 15th, 2012.
• After February 15th, rates are substantially higher.
• Accompanying member partners will need to create a separate member ID and profile in order to record their payments and receive their own registration materials.
• Conference details will be posted on a regular basis as soon as they are available.
• REGISTRATION RATES SCHEDULE

PROCEDURE FOR COMPLETING THE ONLINE FORM

We accept only the following Credit Card types: AMEX VISA MASTERCARD Your payment will appear on your credit card statement in your home currency. All payments are final (no refunds).

IAPL 2012 CONFERENCE REGISTRATION FEES
Type of Member	Regular Member Student Member Retired Member Accompanying Member Partner Non Member *select membership type*
Payment Type	(Tier 1) * prior to December 15th, 2011 (Tier 2) * prior to February 15th, 2012 (Tier 3) * prior to April 15th, 2012 (Tier 4) * prior to May 15th, 2012 (Tier 5) * at the Conference *select payment period category*
*SELECT TOTAL AMOUNT OF PAYMENT IN US$	$180 - Tier 1 - Regular Member $200 - Tier 2 - Regular Member $240 - Tier 3 - Regular Member $280 - Tier 4 - Regular Member $300 - Tier 5 - Regular Member $120 - Tier 1 - Student Member $140 - Tier 2 - Student Member $180 - Tier 3 - Student Member $220 - Tier 4 - Student Member $240 - Tier 5 - Student Member $120 - Tier 1 - Retired Member $140 - Tier 2 - Retired Member $180 - Tier 3 - Retired Member $220 - Tier 4 - Retired Member $240 - Tier 5 - Retired Member $120 - Tier 1 - Accompanying Member Partner $140 - Tier 2 - Accompanying Member Partner $180 - Tier 3 - Accompanying Member Partner $220 - Tier 4 - Accompanying Member Partner $240 - Tier 5 - Accompanying Member Partner $350 - Non Member *select payment category*

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*RE-ENTER YOUR TOTAL REGISTRATION PAYMENT HERE: (This amount will be sent to VeriSign for completion of your payment!)	US $ *
Please specify which address you would like to use as your billing address. It will record your choice and you will see your details after you press "Submit". This must correspond to the address on record with your credit card company. If you select "Other Address," you will need to supply the information. If the name on the card is not yours, you must obtain prior approval from the IAPL Membership Coordinator: Claire Goberman <membership@iapl.info>	Home Address Office Address Other Address *select Billing Address*   Do not fill in billing information below if you selected either Home or Office Address! Just go to "Submit" below.
	* Billing Name * Address * City * State/Province * Zip/Postal Code * Country * Phone * E-mail

Submit your secure credit card payment below.

Click here to Make Credit Card Payment   (Erases all information entered.)   If your information is correct, you will be shown what you have selected, and then will be taken to the secure VeriSign site for your payment. Click on the "Submit" button only once! Otherwise you might pay the same amount twice. After you make your payment, be sure to proceed to the final step. (Registration is not complete without this final stage.)

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