Name_____________________________________________________________

 Address ___________________________________________________________

 City ____________________________________ State ______________________

Country (if not USA)__________________________________________________

Zip or Postal Code ___________________

Phone _________________________________

Fax:____________________________________

E-mail _________________________________

 Status: (  ) Regular (  ) Student

 Fees: US$30 (regular) and US$20 (student).

 (  ) Enclosed is a check made payable to WASHINGTON UNIVERSITY

 (  ) Will pay at the Registration.
 

 Signature:____________________________________________________________
 
 

314-935-4903

314-935-7462

If you have any questions about the conference or registration, please contact the conference co-chairs.