Conference Registration Form IMPORTANT: Please complete a separate registration form for each person you are registering. If you are registering more than one person, you will complete the form multiple times. 1 Registration2 Checkout General RegistrationYou must register for ONLY ONE of the primary organizations at the preregistration fee of $195 each ($220 after April 13). Primary preregistration for full-time students is $60. You MAY register for any of the secondary organizations at $15 each IN ADDITION to the primary registration fee of $195 each ($220 after April 13). Please note, Proceedings are NOT included in the registration fee.Registration Type * RequiredStandard Registration - $195Student Registration - $60Primary Area * RequiredPlease select one primary areaAcademy of Business EconomicsAcademy of FinanceBusiness and Health AdministrationBusiness Society and GovernmentMarketing Management AssociationMidwest Academy of International BusinessMidwest Academy of Legal Studies in BusinessNorth American Accounting SocietyNorth American Management SocietyOperations Mgmt. and Entrepreneurship AssociationSociety for Case ResearchSociety for the Advancement of Information SystemsMBAA International (other)Secondary RegistrationSelect one or more Secondary Areas at $15 each Academy of Business Economics Academy of Finance Business and Health Administration Business Society and Government Marketing Management Association (Available at mmaglobal.org) Midwest Academy of International Business Midwest Academy of Legal Studies in Business North American Accounting Society North American Management Society Operations Mgmt. and Entrepreneurship Association Society for Case Research Society for the Advancement of Information Systems MBAA International (other) ProceedingsYou may select one or more Proceedings area at $15 each Academy of Finance Business and Health Administration Business Society and Government Midwest Academy of International Business Midwest Academy of Legal Studies in Business North American Accounting Society North American Management Society Operations Mgmt. and Entrepreneurship Association Society for the Advancement of Information Systems MealsYou may make one or more Meal Selections: Academy of Finance (Lunch) Business and Health Administration (Lunch) Marketing Management Association (Brunch) Midwest Academy of International Business (Lunch) Midwest Academy of Legal Studies in Business (Lunch) North American Accounting Society (Breakfast) North American Management Society (Lunch) Operations Mgmt. and Entrepreneurship Association (Lunch) Society for Case Research (Lunch) Fun Night SelectionsFun Night tickets are free for conference registrants and $20 each for unregistered guests. Your tickets will be included in your registration packet, if you have preregistered# of Guests for Great Music (Wednesday) Price: $20.00 Quantity: # of Guests for Chicago Blues Review (Thursday) Price: $20.00 Quantity: Name of Guest #1 First Last Name of Guest #2 First Last Total $0.00 Registrant / Attendee InformationName * Required First Last Email * Required Department or position * RequiredInstitution (use official name)Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Phone * RequiredFaxPaymentAmount due: $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20172018201920202021202220232024202520262027202820292030203120322033203420352036 Expiration Date Security Code Cardholder Name If you have questions about this form, email firstname.lastname@example.org. You can register in Chicago if you are unable to meet the March 17 preregistration deadline.