	Site Updates
	4-3-2008 Online registration is now closed - You can register onsite at the conference. See the logisitics link for details on where the conference is being held

Student Registration

Please complete the following registration form, followed by an immediate payment of the registration fee. If you have any questions about the registration process, please contact us.

All fields marked with an asterisk (*) are required.

Contact Information

Your Name: *

First Name *

M.I.

Last Name *

Address Line 1: *

Address Line 2:

City: *

State:

ZIP Code: *

Country: *

Telephone Number:

( ) - ext.:

E-mail Address: *

Education

School:

Program (Degree & year in school):

Major:

Year of Graduation:

Conference Information

How did you learn about MBEC?

Lunch Selection: *

Payment coupon code: