To Register:
1. Fill out separate registration form (or copy) for each registrant.
2. Indicate method of payment (see below).
3. Mail to:
CALS Outreach Services
620 Babcock Drive
Madison, WI 53706-1210
USA
FAX +1 608 262 5088
Telephone +1 608 263 1672
Print clearly or type:
Name______________________________________________________________________
Title_______________________________________________________________________
Institution___________________________________________________________________
Address____________________________________________________________________
Country____________________________________________________________________
Daytime Phone______________________________________________________________
E-Mail Address______________________________________________________________
Registration Fee: $70.00 (US currency only)
Banquet (optional): $20.00 (US currency only)
Total: $70.00 or $90.00 (circle one)
Please indicate method of payment:
[ ] CHECK
Make checks payable to UW-Madison. Only available for $ drawn from US bank
accounts.
[ ] CREDIT CARD
MasterCard or Visa (circle one) Exp. date____________________________
Credit Card Number_____________________________________________
Name on Credit Card____________________________________________
Signature______________________________________________________
[ ] OTHER
If you wish to negotiate another method of payment contact CALS Outreach
Services directly.
CANCELLATION POLICY: To receive a refund contact CALS Outreach Services
before August 4, 1997 (address above).