Conference Registration Form

Payment by Check / Money Order

Payable to	Stanford University
Address to	Richard W. Cottle Dept. of Management Science & Engineering Stanford University Stanford, CA 94305-4026 USA
If you would rather pay by credit card, go here.

Refund or Cancellation

Requests for refund or cancellation should be received by July 15. Please send requests to rwc@stanford.edu.

Fields marked * are required.

User Information

Participant's Name *
Title / Position *
Organization *
Phone *
Fax
E-mail *

Contact Information

Address *	Street
	City	State/Province Select a state/province Not Applicable Alaska Alabama Arkansas American Samoa Arizona California Colorado Connecticut District Of Columbia Delaware Florida Georgia Guam Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Virgin Islands Vermont Washington Wisconsin West Virginia Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland Nova Scotia Northwest Territories Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
	Zip/Postal Code	Country

Additional Information

Name on participant tag
Special dietary/mobility requirements
Names of accompanying persons

Registration Information

Services	Description	Price	Quantity
Conference registration before July 3, 2005	Standard Rate	$150
	Student Rate	$50
Conference registration after July 3, 2005	Standard Rate	$200
	Student Rate	$75
Housing at Stanford University Studios	Single occupancy rate	$441.70/person	person(s)
	Double occupancy rate	$279.20/person	person(s)
Meal Tickets for Commuters Those who intend to stay off-campus may wish to purchase meal tickets. These would make it possible to eat lunch or dinner with participants who are housed in the studios and taking their meals at the Manzanita Park dining hall.	Lunch tickets	$18.65 each
	Dinner tickets (Not Banquet)	$21.75 each
Banquet Tickets (August 10) A Conference Banquet will be held from 7:00 – 10:00 pm on Wednesday August 10 at the Oak Room (West). This is located on the second floor of the Tressider Memorial Union. The price of the banquet is included in the registration fee.	Conference registrant	$0.00	1
	Accompanying persons	$50.00 each
Parking Permits These entitle the holder to (hunt for a place to) park in a “C” lot or a “Resident” lot.	One-day permits	$3.75/day
	One-month permits	$17.00/month
Total Amount		$

Additional Comments