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The Society for Modeling and Simulation International |
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| 2001 WESTERN MULTICONFERENCE |
| JANUARY 7-11, 2001 |
Crowne Plaza Hotel - Phoenix, Arizona
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| CONFERENCE REGISTRATION FORM (PDF Version) |
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| Registration fee includes session attendance, CD-ROM Proceedings & conference reception. |
| Name: (for badge) _________________________________ Position: _______________________ |
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| Organization: (for badge) ________________________________________________________ |
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| Mailing Address: ______________________________________________________________ |
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| _____________________________________________________________________________ |
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| City: ______________________________ State/Country: _______________ ZIP: __________ |
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| Business Phone: _________________________ Home Phone: __________________________ |
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| FAX: _________________________ E-mail: ________________________________________ |
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| Please indicate your primary Track of interest for the WMC 2001 |
| __CNDS __ICBGM __ICHSS __ICSEE __IFST __NUCS __VWSIM |
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| CONFERENCE FEES |
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SCS Member #: __________ |
SCS Members:
Non-Members:
One Day
Group of Four or
more - per person
one Proceedings per group
Student -
program attendance only
PDS
Printed Proceedings |
Early (before 12-7-00)
$395.00
$480.00
$195.00
$290.00
$55.00
$100.00
$20.00 |
Late (after 12-7-00)
$455.00
$540.00
$225.00
$290
$55.00
$100.00
$20.00 |
$____________
$____________
$____________ |
| _ SCS Membership Dues (Check here & enclose membership application) |
$ ___________ |
| Method of Payment: (No cash accepted) |
TOTAL* $ ___________ |
__ VISA __ Mastercard __ AMEX __ Check* __ Company P.O. __ Gov't DD Form 1556
Auth. Number: ____________________________________ Exp. Date: _______
Auth. Signature: ________________________________________ |
| * All Checks must be made payable to SCS and drawn on U.S. banks or International Money Orders in U.S. funds
Return To SCS, P.O. Box 17900, San Diego, CA 92177-7900 |
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If you have any further questions concerning the 2001 Western MultiConference or any other aspect of The Society for Modeling and Simulation International, please contact us at:
858-277-3888; Fax: 858-277-3930; E-mail:info@scs.org; Internet: http://www.scs.org |