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Registration

 

Please provide the following information:

Title
First name
Middle initial
Last name
Title
Organization
Department/Division
Street address
City
State/Province
Zip/postal code
Phone (w/area code)
Fax (w/area code)
E-mail
Will guests (in addition to yourself) be in your party? If so, please indicate their names below.
Guest 1 name
Guest 2 name
Guesst 3 name
I will attend these events (indicate how many people will attend each event)

Reception on April 11 (no charge to attendees)

Symposium on April 12 @ $120
Banquet on April 12 @ $50

Advance payment is appreciated. Choose one of these two ways to submit your payment.

I will make a check payable to the "University of Maryland Foundation" and mail it to: Karen Deal, Institute for Systems Research, 2447 A.V. Williams Bldg., University of Maryland, College Park, MD 20742.

I will submit credit card payment authorization to the University of Maryland Foundation secure payment site. (The University of Maryland Foundation is one of the sponsors of this event.) A link to this site will be sent to you when you submit this registration form.
How many vegetarian meals at the banquet? Indicate quantity here
ADA accommodation needed?

If yes, describe here:

Other comments regarding registration