Registration Form

Annual Conference on South Asia

October 17-20, 2013

Please note: Each panelist or single paper presenter should complete this form individually. All presenters, discussants, panel chairs, and roundtable participants must be registered by April 1, 2013. For non-presenters, the deadline to register online is October 1, 2013. Non-presenters may still register at the door. Please read our refund policy for more information.

Personal Information

First Name:

Last Name:

Institution:

Department:

Status:

Street Address:

City:

State/Province:

Zip/Postal Code:

Country:

Email:

Verify Email:

Are you a graduate of the University of Wisconsin - Madison?

Yes

Registration Fee

$160.00 (non-student)

$85.00 (student)

Please pre-purchase your meal tickets online. Only a small number of extra tickets will be available for purchase at the registration desk during the conference. We cannot guarantee that tickets will be available. Please read our refund policy.

All-Conference Dinner
Friday, October 18, 2013

Spicy Vegetable Thai salad on Green Tea Sobe Noodles with Soy Ginger dressing
Jasmine rice
Braised Chicken with Yellow Coconut Curry Sauce
Sautéed Bok Choy with Green Beans, Garlic, and Chili
Glass Vermicelli Noodles with Tofu, Bean Sprouts, and a Peanut Sauce
Cucumber, Tomato, and Jalapeno Salad
Key lime pie
Chocolate Cake

Served with Freshly Brewed Iced Tea, Regular and Decaffeinated Coffee, and a Selection of Tazo Teas with Honey and Lemon.

Meal Order Fee

All meal tickets will be given to the person who purchased them.
If you are buying meal tickets for other people, they will have to get the tickets from you.

No Meal Tickets

1 Meal Ticket: $30

2 Meal Tickets: $60

3 Meal Tickets: $90

4 Meal Tickets: $120

Total Due:

Form Submission

Please select your payment choice before you submit your registration.
Payment instructions will be displayed on the next page.

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