Please PRINT this form, complete in black ink and send with payment to: Yale University Conference Services 246 Church Street, Suite 101 New Haven, CT 06510 or fax to 203-432-7345 Please return before April 26, 1994. Register early--enrollment is limited to 250 participants. Registration fee $50.00 ___________ student registration fee* $20.00* ___________ May 12 buffet dinner (optional) $20.00 ___________ with speakers TOTAL: ___________ *Please enclose a photocopy of your valid student ID. Name:____________________________ Title:________________________ Name as you want it to appear on name tag:_______________________ Organization (for name tag):_____________________________________ Address:_________________________________________________________ City:_______________________ State:_____________ Zip:__________ Country:___________________ Phone:___________________________ Fax:_________________________ Email:___________________________________________________________ Any special needs (access, meals, etc.)?_________________________ _________________________________________________________________ Fees must be paid in full with the registration form. Please enclose check or money order in U.S. dollars, payable to Yale University. Your canceled check is your receipt. Conference registration includes a continental breakfast, a box lunch, and two coffee breaks on Friday, May 13. Registration also includes a pre-conference on Thursday night, a name tag and all registration materials.
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