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.

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

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.