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Name |
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Title
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| Organization/Employer |
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| Street
Address |
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| City/Town |
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State
Zip code |
| Work
Phone |
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Fax
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| Email |
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| Please list
any special needs or dietary restriction you may have (i.e.,
allergies, etc.) |
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| Registration
Fees for Professionals |
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Early Bird
Registration before July 9, 2002 |
$485 |
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Regular
Registration after July 9, 2002 |
$535 |
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Will you bring a guest to the banquet? 012345
Additional cost for accompanying person for banquet is $65
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Registration Fee for Students |
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Program
only |
$125 |
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Program
with banquet |
$190 |
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Program
with banquet, CDROM & book of AIP
published papers |
$290 |
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| Payment
Method |
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| For
all payment options include your name, where you are from, and what
organization you are representing. |
| Cheque/Money
OrderVISA
MasterCardDiscoverEFT
(Please email Cathy
Loney) |
| Upon
receipt of your registration we will call you for your credit card
number. |
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| If
Check |
make
check payable to University of Idaho and mail to: |
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MAXENT2002
Conference
Services
University of Idaho
P.O. Box 441205
Moscow, ID 83844-1205
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| I
am staying at |
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| Total
payment |
Total sent $
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