registration forms - Academy of Management

Registration Information and Instructions
Early Registration Deadline for Faxed/Mailed Forms: Thursday, June 22, 2017
77th Annual Meeting of the Academy of Management
Atlanta, Georgia, United States of America · August 4-8, 2017
**All information in this packet pertains ONLY to faxed or mailed registration forms for the
77th Annual Meeting of the Academy of Management, NOT for online registration**
IMPORTANT DATES
EARLY REGISTRATION FEES
Registration & Housing Open
February 21, 2017
Early Registration Rates Apply
(Online Registration Only)
February 21 - July 6
2017 AOM Online Program Available
May 2017
Early Registration & Housing Deadline
Thursday, June 22
(Faxed/Mailed Forms) 11:59 PM, ET - NY Time
Onsite Registration Rates Apply
Online Registration Only
In-person Registration
July 7 - August 8
August 4 - August 8
Deadline for Changes and Cancellations
to Hotel Reservations
July 13
Registration Cancellation Deadline
(Full Refund Issued)
Thursday, July 20
77th Annual Meeting of the
Academy of Management
August 4 - August 8
FOR IMMEDIATE CONFIRMATION, Register Online:
http://aom.org/annualmeeting/registration
ACTIVE MEMBER
Academic or Executive
$270.00 USD
ACTIVE MEMBER
Student or Emeritus
$108.00 USD
NEW & RENEWING MEMBER
Academic or Executive
$452.00 USD
NEW & RENEWING MEMBER
Student or Emeritus
$199.00 USD
LATE / ONSITE REGISTRATION
ACTIVE MEMBER
Academic or Executive
$378.00 USD
ACTIVE MEMBER
Student or Emeritus
$151.00 USD
NEW & RENEWING MEMBER
Academic or Executive
$560.00 USD
NEW & RENEWING MEMBER
Student or Emeritus
$242.00 USD
AOM DIVISONS AND INTEREST GROUPS
AOM Membership includes 2 complimentary divisions/interest groups. Each additional division is $11 and each additional interest
group is $7. Below is the list of the AOM’s Divisions and Interest Groups:
DIVISIONS ($11.00 each)
Business Policy and Strategy
Careers
Conflict Management
Critical Management Studies
Entrepreneurship
Gender & Diversity in Organizations
Health Care Management
Human Resources
International Management
Management Consulting
Management Education and Development
Management History
Managerial and Organizational Cognition
Operations and Supply Chain Management
Organization and Management Theory
Organization Development and Change
Organizational Behavior
Organizational Communication & Information Systems
Organizations and The Natural Environment
Public and Nonprofit
Research Methods
Social Issues in Management
Technology & Innovation Management
INTEREST GROUPS ($7.00 each)
Management Spirituality & Religion
Strategizing Activities and Practice
REGISTRATION INFORMATION
 All attendees of the 77th Annual Meeting of the Academy of Management must have an AOM membership valid through
August 31, 2017 or later.
 Early registration fees only apply to those faxed or mailed registrations received and postmarked by THURSDAY, JUNE 22,
2017; otherwise, the higher, late/onsite registration rates apply. Please contact the office BEFORE the deadline to record any
technical, system-related difficulties with registering. No requests for exceptions will be honored.
 ALL attendees participating in ANY session, event, meeting, social event or workshop, including presenters, AOM
members, invited guests, chairs, discussants, facilitators, and speakers MUST be registered to attend. ALL registration forms
MUST include payment information or they will NOT be processed.
 To receive a refund of your registration fees, THE REGISTERED ATTENDEE must request a cancellation in writing and postmark
or fax the request to: AOM HQ—Attention: Registration by July 20, 2017. No refunds will be issued after July 20, 2017.
Please refer to the Housing Information webpage for specifics on hotel cancellation policies.
Form 200
AOM M EMBER R EGISTRATION F ORM
Mailed forms must be postmarked by Thursday, June 22, 2017
77th Annual Meeting of the Academy of Management
Atlanta, Georgia, United States of America · August 4-8, 2017
All attendees of the 77th Annual Meeting of the Academy of Management must have a valid AOM membership valid through August 31, 2017 or later
*REQUIRED
*FIRST NAME:
M.I.:
*LAST NAME:
*COUNTRY:
*MAILING ADDRESS:
ORGANIZATION:
*CITY:
*EMAIL:
*STATE/PROVINCE:
EMAIL ADDITIONAL RECEIPT TO:
(credit card payment only)
*MEMBER ID:
*POSTAL CODE:
PHONE:
*REGISTRATION INFORMATION
Academic $270.00 USD
Executive $270.00 USD
Student $108.00 USD
Emeritus $108.00 USD
*TOTAL AMOUNT ENCLOSED
$___________USD
PAYMENT INFORMATION
ACCEPTED FORMS OF PAYMENT:
1) CHECKS/MONEY ORDERS made payable in US Dollars to ACADEMY OF MANAGEMENT
2) CREDIT CARDS – Please check one:  VISA
*required fields for processing credit cards:
 MASTERCARD
 AMERICAN EXPRESS
*PAYMENT AMOUNT: $________USD
*CREDIT CARD NUMBER: ________________________________ *PRINT CARDHOLDER NAME: ____________________________
*PRINT CARDHOLDER ADDRESS: ________________________________________________________________________________
*CARD EXPIRATION DATE: (MM/YY) ____/____
By Postal Mail: Academy of Management
P.O. Box 419480
Boston, MA 02241-9480
U.S.A.
*CARDHOLDER SIGNATURE: ____________________________________________
By Courier Service:
(FedEx, DHL, etc.)
Bank of America Lockbox Services
Academy of Management 419480
MA5-527-02-07 2 Morrissey Blvd.
2 Morrissey Blvd.
Dorchester, MA 02125 U.S.A.
For Immediate confirmation, REGISTER ONLINE using your credit card: http://aom.org/annualmeeting/registration/
Form 200
M EMBERSHIP R ENEWAL & R EGISTRATION F ORM
Mailed forms must be postmarked by Thursday, June 22, 2017
77th Annual Meeting of the Academy of Management
Atlanta, Georgia, United States of America · August 4-8, 2017
All attendees of the 77th Annual Meeting of the Academy of Management must have a valid AOM membership valid through August 31, 2017 or later
*REQUIRED
*FIRST NAME:
M.I.:
*COUNTRY:
*LAST NAME:
*MAILING ADDRESS:
ORGANIZATION:
*EMAIL:
*CITY:
EMAIL ADDITIONAL RECEIPT TO:
*STATE/PROVINCE:
(credit card payments only)
*POSTAL CODE:
*MEMBER ID:
PHONE:
*MEMBERSHIP/REGISTRATION TYPE
(select only one)
Academic $452.00 USD
Executive $452.00 USD
Student $199.00 USD
Emeritus $199.00 USD
Membership includes 2 complimentary divisions/interest groups. Each additional division is $11 and each additional interest
group is $7. You may also add a “print” subscription to your journals. Please indicate your choices below:
Division/Interest Group: _________________________________
Division/Interest Group: ________________________________
Additional Divisions/Interest Groups: ____________________________________________________________________________
To add a print subscription to your journals, please choose your member type and associated cost below:
Academic/Executive: $30/year
Student/Emeritus: $15/year
*TOTAL AMOUNT ENCLOSED $______________________
MEMBERSHIP & REGISTRATION
+ $________________ +
EXTRA DIV/INT GROUPS
$________________
PRINT SUBSCRIPTION
=
$________________USD
TOTAL AMOUNT ENCLOSED
PAYMENT INFORMATION
ACCEPTED FORMS OF PAYMENT:
1) CHECKS/MONEY ORDERS made payable in US Dollars to ACADEMY OF MANAGEMENT
2) CREDIT CARDS – Please check one:  VISA
*required fields for processing credit cards:
 MASTERCARD
 AMERICAN EXPRESS
*PAYMENT AMOUNT: $__________USD
*CREDIT CARD NUMBER: __________________________________ *PRINT CARDHOLDER NAME: ____________________________________
*PRINT CARDHOLDER ADDRESS: __________________________________________________________________________________________
*CARD EXPIRATION DATE: (MM/YY) _____ / _____
By Postal Mail:
Academy of Management
P.O. Box 419480
Boston, MA 02241-9480
U.S.A.
*CARDHOLDER SIGNATURE: ___________________________________________________
By Courier Service: Bank of America Lockbox Services
(FedEx, DHL, etc.)
Academy of Management 419480
MA5-527-02-07 2 Morrissey Blvd.
2 Morrissey Blvd.
Dorchester, MA 02125 U.S.A.
For immediate confirmation, REGISTER ONLINE using your credit card: http://aom.org/annualmeeting/registration/
Form 200
N EW M EMBER R EGISTRATION F ORM
Mailed forms must be postmarked by Thursday, June 22, 2017
77th Annual Meeting of the Academy of Management
Atlanta, Georgia, United States of America · August 4-8, 2017
If you would like to join the Academy of Management and register for the 2017 Annual Meeting, please complete this form.
*REQUIRED
*FIRST NAME:
*COUNTRY:
MIDDLE NAME:
*MAILING ADDRESS:
*LAST NAME:
ORGANIZATION:
*CITY:
*EMAIL:
*STATE/PROVINCE:
EMAIL ADDITIONAL RECEIPT TO:
*POSTAL CODE:
(credit card payments only)
*PHONE:
*MEMBERSHIP/REGISTRATION TYPE
(select only one)
Academic $452.00 USD
Executive $452.00 USD
Student $199.00 USD
(proof of membership required)
Membership includes 2 complimentary divisions/interest groups. Each additional division is $11 and each additional interest
group is $7. You may also add a “print” subscription to your journals. Please indicate your choices below:
Division/Interest Group: _________________________________
Division/Interest Group: ________________________________
Additional Divisions/Interest Groups: _____________________________________________________________________________
To add a print subscription to your journals, please choose your member type and associated cost below:
Academic/Executive: $30/year
Student: $15/year
*TOTAL AMOUNT ENCLOSED $______________________
MEMBERSHIP & REGISTRATION
+
$_________________
EXTRA DIV/INT GROUPS
+ $_______________
=
*$_____________USD
PRINT SUBSCRIPTION
TOTAL AMOUNT ENCLOSED
PAYMENT INFORMATION
ACCEPTED FORMS OF PAYMENT:
1) CHECKS/MONEY ORDERS made payable in US Dollars to ACADEMY OF MANAGEMENT
2) CREDIT CARDS – Please check one:  VISA
*required fields for processing credit cards:
 MASTERCARD
 AMERICAN EXPRESS
*PAYMENT AMOUNT: $__________USD
*CREDIT CARD NUMBER: __________________________________ *PRINT CARDHOLDER NAME: ____________________________________
*PRINT CARDHOLDER ADDRESS: __________________________________________________________________________________________
*CARD EXPIRATION DATE: (MM/YY) _____ / _____
By Postal Mail:
Academy of Management
P.O. Box 419480
Boston, MA 02241-9480
U.S.A.
*CARDHOLDER SIGNATURE: ___________________________________________________
By Courier Service: Bank of America Lockbox Services
(FedEx, DHL, etc.)
Academy of Management 419480
MA5-527-02-07 2 Morrissey Blvd.
2 Morrissey Blvd.
Dorchester, MA 02125 U.S.A.
For immediate confirmation, JOIN and REGISTER ONLINE using your credit card: http://aom.org/annualmeeting/registration/