REGISTRATION

CONFERENCE REGISTRATION
Please print and fill out this form and return it with your registration fee of $150 ($15/day for students).  All meals are "on your own."  Make checks payable to George Farre and send form and check to:
George Farre
Georgetown University
New North Bldg Rm 223
Washington, DC 20057
 
 
NAME:                                                                                                                
 
AFFILIATION:                                                                                                   
 
BUSINESS ADDRESS:                                                                                       
                                                                                                                             
 
OFFICE PHONE:  (     )                           
 
HOME PHONE:  (     )                            
 
 
 
            $125 Pre-registration
            $15 Student Registration - Thursday
            $15 Student Registration - Friday
            $15 Student Registration - Saturday
$          TOTAL

             Check enclosed

For information on reservations, call (202) 687-7498