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EBSD-2016 On-Site Payment Form

This form allows conference attendees to pay for special additional items using PayPal

(Required)
Your first name
(Required)
Your last name
(Required)
Your affiliation
(Required)
How many nights will you be spending in the University of Alabama dormitory rooms? Dormitory rooms cost $26.50 per night plus a one-time $13.00 linens charge.
(Required)
This option is only for vendors with a "sales pass". How many extra boxed lunches would you like to purchase at $9.00 per lunch?
(Required)
This option is only for vendors with a "sales pass". How many extra banquet tickets would you like to purchase at $60.00 per ticket?