Interface '97
Mail-in Registration Form

Registration Deadline: To be announced

Instructions: Please print out the form below. Fill it out and mail it along with the registration cost to Interface '97.

• _______ Members of Interface $130 ($150 after May 1st)
• _______ Members of Cooperating Societies $165 ($185 after May 1)
• _______ Others $185 ($205 after May 1)
• _______ One-day registration $95
• _______ I wish to join Interface: Please credit $35 of my registration for one year's membership
• _______ Short course fee $175 (Wednesday, 9:00 - 4:30, choose one)
  • _______ John Elder, "Tools for Discovering Patterns in Data"
  • _______ James Thompson, "Simulation: A Modeler's Approach"

Email: _________________________________

Title:(Dr., Prof, Mr., Mrs., etc...)________________________
Name:_______________________________________________________

Street Address: ____________________________________________
__________________________________________________________
City:_________________ State:______ Zip Code:_____________
Country:________________

Phone Number:___________________________ Fax Number:______________________________

CHECK ALL THAT APPLY:
___ I expect to be accompanied (___ Possible)
___ I would like to present a paper
****Tentative Topic:__________________________________________________
___ I would like to present a poster
****Tentative Topic:__________________________________________________
___ I am interested in Pre/Post tours
___ I shall require accomodations
___ I would like information on the Trade exhibition
___ I would like information on Sponsorship opportunities

If you plan to give a paper, please list any A-V (audio/visual) equipment that you are requesting: (you will receive a confirmation about what is available) ______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________

Please include any questions or comments here: ______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________

Thank you for your registration. As your confirmation, you will receive an email at the address you provided above. Please direct questions to interface97@stat.rice.edu.