The Violin Society of America
Violin Society Of America
2002 Convention Registration Form
Drawbridge Inn
Ft. Mitchell, Kentucky
November 11-17, 2002
Please fill out form on your screen. Use "submit via e-mail" button below, or print and mail or fax:
*Last Name: * First Name:  *Street Address:  *City:   *State/Province:  *Zip/Postal Code:  *Country:  *Home Phone:   Work Phone:  ext:  Fax Number:    *E-mail:   Member Number:    Guest's name(s):  

Events

Item Quantity Cost Total
Member or guest registration $50 each ($40 by 10/11)
Non-member registration $70 ($60 by 10/11)
Student convention registration $35 ($25 by 10/11)
Banquet Saturday, 11/15 $21
*Total ---------- -------------

*Payment Information

Check enclosed in the amount of  (in US funds, drawn on US bank)

* Charge my credit card:
    Visa MasterCard American Express
     Account Number: 
     Expiration Date: 
     Signature: 

(Before you hit the submit button, Please make sure you have entered the correct information. If you happen to submit the page with errors, go back and refresh the page or close the browser and start again.)
 (credit card information required!)* Information Required

Note: Be sure to make your hotel reservations separately.

Mail Registrations To:

The Violin Society Of America
48 Academy Street
Poughkeepsie, NY 12601-4111 USA
(845) 452-7557 . (845) 452-7618 
 membership@vsa.to

VSA Address

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