Please send your registration form and payment to:

Registration: Early registration must be received by Wednesday, August 11, 1999.

There will be on-site registration beginning at 7:30 a.m. on August 19, 1999, space permitting.

Upon registration, a confirmation email will be sent to you. A receipt will be provided upon check-in at the workshop.

Hotel recommendations, maps, and directions are available.

Cancellation/Refund Policy:

Written cancellations received FIVE working days prior to the workshop date are subject to a $50 cancellation fee. Registrants who fail to cancel in writing at least FIVE working days prior to the workshop are liable for the entire fee.

Registration Fees:

Early Registration (by Wed., August 11)	Late or On-site Registration
$175.00	$250.00
$50.00 - student	$100.00 - student

Payment:

Check       (payable to UC Regents)

Credit Card       (Visa or Mastercard       only)

Cash       (at workshop site only)

Credit Card Information:

	_____________________________________
	Name as it appears on the card
		
		
	_____________________________________
	Credit card number and expiration date


	_____________________________________
	Signature

Type or PRINT clearly:

       Name:___________________________________________________________________
		  First			Middle			Last

       Affiliation:____________________________________________________________

       Title:__________________________________________________________________

       Address:________________________________________________________________

       City: _______________________ State: _______________ Zip: ______________

       Phone: _______________________________ Fax: ____________________________

       Email: _________________________________________________________________

       Dietary/access requirements: ___________________________________________

       ________________________________________________________________________