SCSC 2000 Registration Data |
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| First Name | * |
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| MI | |||||
| Last Name | * |
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| Position | |||||
| Organization | |||||
| Address | * |
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| City | * |
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| State | * |
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| Zipcode | * |
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| Country | * |
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| Phone |
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| Fax | |||||
| Member Number |
Include if member |
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Fees |
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Registration Fee |
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No.of Persons |
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Early |
Late |
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Before 3-20-00 |
After 3-20-00 |
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Professional Development Seminar #1 |
$200.00 |
$200.00 |
Professional Development Seminar #2 |
$200.00 |
$200.00 |
Professional Development Seminar #3 |
$200.00 |
$200.00 |
Professional Development Seminar #4 |
$200.00 |
$200.00 |
Professional Dev. Seminar #5 Part One |
$125.00 |
$125.00 |
Professional Dev. Seminar #5 Part Two |
$125.00 |
$125.00 |
Profes. Dev. Sem. #5 Parts One and Two |
$200.00 |
$200.00 |
Professional Development Seminar #6 |
$200.00 |
$200.00 |
Professional Development Seminar #7 |
$200.00 |
$200.00 |
Professional Development Seminar #8 |
$200.00 |
$200.00 |
Payments |
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SCS Membership Dues Total |
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Professional Development Seminar Total |
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TOTAL* |
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| Method of Payment | ||
| Visa | ||
| MasterCard | ||
American Express |
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| Check Number* | ||
| Company PO No. | ||
| Gov't DD Form 1556 | ||
| * All Checks must be made payable to SCS and drawn on U.S. banks or International Money Orders in U.S. funds | ||
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Please send checks to |
The Society for Computer Simulation International P. O. Box 17900, San Diego, California 92177-7900 |
Voice: (858) 277-3888 Fax: (858) 277-3930 |