Registration Form

 

 

Please print, complete,and return this form,

along with payment, via mail

-- or --

 Credit card payments can be made online at www.regonline.com/83024

Name                                                                                                               email                                                                                                                                                                                                                                                                               

Address                                                                                                                                                                                                                                                                                                                                                                                                              

Phone                                                                                                               Fax                                                                                                     

            Please include payment amount and method.  All checks should be made payable to IEMS.

            Print your name, address, and phone number on the FRONT OF YOUR CHECK.

    

Fees

  • Early registration (prior to 2/17/06): $345
  • Late registration (after 2/17/06): $425
  • Students (does not include proceedings): $185
  • Guests: $35

           

 

                                                Total Amount Enclosed $                                                                                

 

Mail to:             California State University, Stanislaus, Management, Operations, and Marketing Department,

                        801 W. Monte Vista Avenue, Turlock, CA 95382