Registration Form:

10th Annual National American Synesthesia Association, Inc.
Conference at OCAD University, Toronto, Ontario, Canada
May 31–June 2, 2013

Registration for the conference is necessary for all who wish to attend.

All selected presenters who are US residents must be members of the American Synesthesia Association.

Registration Fees

Late Registration Fees Received after May 15, 2013 or At the Door

$190.00 (ASA Members)
$190.00 (All CRSC Members, and OCAD University Faculty)
$210.00 (Non Members)
$ 50.00 (Students with current valid ID)


Music Visualization Workshop Participants can attend the entire
ASA conference for the special rate of

$130.00 Non Students
$ 50.00 Students with current valid ID



Method of payment:

Registration Fees are payable in either American or Canadian Dollars.


First Name: ______________________________________________________________

Last Name: _______________________________________________________________

Street Address: __________________________________________________________

City, State, Postal Code: _________________________________________________

Country: _________________________________________________________________

Telephone Number: ________________________________________________________

Fax Number: ______________________________________________________________

E-mail Address: __________________________________________________________

Website: _________________________________________________________________


Please print out a copy of this registration form, fill it out, and either bring it with you, or send it with your check or money order to:

American Synesthesia Association, Inc.
75 East 4th Street, Suite 573
New York, NY 10003
USA

Please make your check or money order payable to the American Synesthesia Association, Inc.

Confirmation of receipt will be by email only.

The ASA cannot be held responsible for reservations that are not received in a timely manner.