• THE VIETNAM CENTER AND ARCHIVE
  • Texas Tech University

The Seventh Triennial Vietnam Symposium
March 10th-12th, 2011
Overton Hotel and Conference Center
Lubbock, TX

Conference Registration Form

Register online or by phone at 806-742-3742

Registration form and payment must be received by March 1st, 2011.

Name:

Title/Prefix: First Name:* MI: Last Name:* Suffix:

Institution/Company/Affiliation:

Position:

Address:

Street/PO Box: Apt:

City: State: Zip: Country:

E-mail:*

Phone Information:

Home or Cell: Office: Fax:

Conference Roster:

I want my name and information to appear on the Symposium Roster to be sent to all attendees:

Information to appear:

Leaving this area blank indicates that you agree to publishing your information in the symposium roster

Guest Information:

If bringing a guest(s), please provide the name(s) as they should appear on the guest name tag(s):

Add Another Guest (maximum of 4)

Conference Costs and Payment Information:

Please include yourself and any guests. Registration includes all meals* (lunch on Thursday, Friday and Saturday, Banquet on Friday evening, BBQ Dinner on Saturday evening):

  • Conference Registration: @ $150 per person =
  • West Texas BBQ Dinner (Friday Night):
    Number of Vegetarian Meals Requested:
  • Banquet (Saturday Night):
    Number of Vegetarian / Vegan Meals Requested:
  • Total Registration Amount: << includes late registration fee
NOTE: No refunds after March 6th.
* Due to hotel catering requirements, onsite registration will not include any meals.

Registration is not complete until payment is received. Upon submission of this registration form, you will receive a copy of your registration by email as well as a confirmation that your registration has been received.

Pay by Credit Card:

To pay by credit card, contact the Vietnam Center at 806-742-9010. Please have the registration number from the registration email when you call.

Pay by Check:

To pay by check, mail a copy of your registration email with payment to:

  • Texas Tech University
  • Vietnam Center
  • Box 41045
  • Lubbock, TX 79409-1045

Make checks payable to: Texas Tech Foundation Attn: Vietnam Center and include your registration number on the check.

Hotel Reservations:

For hotel reservations contact the Overton Hotel at 806-776-7000 or register online at www.overtonhotel.com. A special rate of $85 is available until February 7th, 2011. Use Group Number 031110TTU.

NOTE: Do not include active urls in your message, as our spam blocker will prevent your message from being sent. If you need to include a website url, just enter www.url.com, leaving off http://

  • © Copyright The Vietnam Center and Archive, Office of International Affairs, Texas Tech University - All Rights Reserved