Conference Registration
Form for PSAM 4
September 13-18, 1998
__________________________________________________________________________
Name Affiliation
__________________________________________________________________________
Mailing Address City
State Postal
Code Country
__________________________________________________________________________
Business Phone Fax E-mail
1. |
Meeting Pre-registration Fees (includes Sunday evening
reception, coffee/ refreshment breaks, Tuesday luncheon , Wednesday dinner
aboard the Intrepid Museum, and conference proceedings in both hard copy
and CD ROM formats)
Full meeting: Students*
$575 if paid by June 1, 1998, $275
by June 1, 1998,
$675 after June 1 or on-site. $325
after June 1.
*Includes coffee/refreshment breaks, luncheon,
and proceedings.
Note: To qualify for the reduced rate, students must present a letter
from their college verifying full-time attendance.
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2. |
Additional tickets for special events:
Luncheon on Tuesday ____________tickets
@ $50/each
Buffet Dinner aboard USS Intrepid on Wednesday_____________tickets
@ $75/person |
3. |
Total amount enclosed $______
Checks or money orders made payable to PSAM 4 must
be drawn on a U.S. bank in U.S. currency. Print clearly. Include correct
payment and mail to:
PSAM
4 Pre-registration,
PO
Box 326,
Upton,
NY 11973, USA
Payment may also be made with Visa or MasterCard by completing
the information below. If payment is by credit card, completed form may
be faxed to PSAM 4 at (516) 344-3957.
r Visa r
MasterCard __________________________________________________
Account
No. Expiration
Date
Cardholder Name (if different from registrant) ____________________________________
Signature
Date
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All forms must be received with payment in full prior
to June 1, 1998, to be eligible for the reduced rate. Registrations received
after this date will be considered "on-site". No confirmations
will be sent.
To receive a refund, any changes and/or cancellations
must be received in writing no later than July 31, 1998. No telephone registrations
or cancellations will be accepted. Substitutions will be accepted at any
time.
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