Company Name ______________________________________________________________________
Address ____________________________________________________________________________
City/State/Zip/Country _________________________________________________________________
Phone and FAX ______________________________________________________________________
Email ______________________________________________________________________________
Registration fee is $335 if received by May 24, 1997. It includes lunch for each day of the Conference, the Conference Banquet, the Welcoming Reception, all breaks, and a copy of the Proceedings.
O Regular Registration @ $335
O Late Registration @ $400
Method of Payment:
O Purchase Order # ________________________________________________
O Visa O MasterCard O American ExpressAccount Number ______ ______ _______ ______ Exp. Date ___________ Amount _____________
Name _______________________________________________________
Signature _____________________________________________________
Please let us know if you require special accommodations for disabilities or special dietary restrictions:
You can register
The full registration fee or an organization purchase order is due by May 24, 1997. A written notice must be sent by the participant to Bethany Campbell (fax is acceptable) to cancel a registration. A twenty-five dollar ($25.00) fee will be charged for cancellation.