Name (as it should appear on name tag):
Affiliation:
Address: / City:
State: / Zip Code: / Country:
Email: / Phone:
Registration includes all paper sessions, concerts, field trips, lunch on Friday, andbanquet.
Postmarked before May 10Postmarked after May 10
Student$175 Student$225
$Member$225 Member$275
Non-member$275 Non-member $325 Registration total
$Buffet Banquet with lobster, chicken, and vegetarian options
Extra Banquet Ticket: $75/person…………………………………………………………………………………………………
Friday Box Lunch- Choose 1 (✓): Turkey Ham Vegetarian
Dietary Restrictions:Field trips: Rank in order of preference (#1-4). Limited availability, First come, first served.
Powell Flutes and Zildjian CymbalsMarlowe Sigal Instrument Collection
Frederick Piano Collection
MFA Instrument Collection
HOUSING: Air-conditioned dorm roomsare available at Simmons College from June 3-7 (check out-June 7).
Arrival: / Departure:DEADLINE FOR HOUSING RESERVATIONS:May 19, 2015, First come, first served. Prices are per person and include linens and breakfast.
Price/night / # Nights / Total$75.50/night x / =
$68.50/night x / =
$127/night x / =
$111/night x / =
✓:Choose 1
Single with private bath-limited availability ($75.50/person)……….
Single with common bath ($68.50/person)…………………………………..
Double* with private bath-limited availability ($63.50/person)……
Double* with common bath ($55.50/person)………………………………
*To book a double room, you will be charged for 2 people. / Roommate’s name:I will NOT be staying at Simmons and have secured housing elsewhere
If you cancel your reservation between 60 and 30 days prior you will be billed for 75%, and if you cancel less than 30 days
prior to check-in you will be billed the full amount of the room cost. For access cards not returned at check-out you will be
billed $25 per card, and for room keys not returned at check-out you will be billed $50 per key.
Cancellations must be done through AMIS, rather than with Simmons College.
$ $TOTAL REGISTRATION AND HOUSING:
PAYMENT (2 OPTIONS):
1. Pay online with credit card-Go to Send completed forms by email or post:
Click on “Join or renew by CREDIT CARD” (green button at left)EMAIL: Joanne Kopp ()
Fill out the online payment form with your total registration amount.MAIL: Joanne Kopp, Treasurer, AMIS
1106 Garden Street
2. Mail Joanne Kopp a check payable to: American Musical Instrument SocietyHoboken, NJ 07030
Questions? Contact Joanne Kopp (contact info above) or Jayme Kurland (; 617-369-3340)