Maxent 2002 Registration

- - - - - - - - - - - - - - - -


Registration Form Fill in this form and press submit, or for a printable version of the registration form click here and fax to 208.885.6971.

Name				Title
Organization/Employer
Street Address
City/Town		State Zip code
Work Phone				Fax
Email
Please list any special needs or dietary restriction you may have (i.e., allergies, etc.)

Registration Fees for Professionals
	Early Bird Registration before July 9, 2002			$485
	Regular Registration after July 9, 2002		$535

	Will you bring a guest to the banquet? 012345 Additional cost for accompanying person for banquet is $65

Registration Fee for Students
	Program only			$125
	Program with banquet			$190
	Program with banquet, CDROM & book of AIP published papers			$290

Payment Method
For all payment options include your name, where you are from, and what organization you are representing.
Cheque/Money OrderVISA MasterCardDiscoverEFT (Please email Cathy Loney)
Upon receipt of your registration we will call you for your credit card number.

If Check	make check payable to University of Idaho and mail to:
	MAXENT2002 Conference Services University of Idaho P.O. Box 441205 Moscow, ID 83844-1205
I am staying at

Total payment	Total sent $

Click here to fill out a .

Professional registration fees includes admission to workshop, opening reception, banquet, transportation to/from banquet, continental breakfasts, morning & afternoon breaks daily and book of published papers and CDROM.