Please check the box for programs of the conference that you intend to pay by Credit Card. It should be noted that we will only accept American Express, Master Card or Visa credit cards. When you have completed this registration form you, please press the Continue to Secure Payment Form button. You will be transferred to a secure web site where you will be required to enter you credit card information.

          Please press the button to indicate which of the following programs that you wish to attend. (Note you           will only be able to select just one button.)

Conference
            Conference only = $1495.00

Workshops
            Workshop A (only) = $450.00
            Workshop A + Conference = $1895.00
            Workshop A + Workshop D (only) = $900.00
            Workshop A + Workshop D + Conference = $2295.00
            Workshop D (only) = $450.00
            Workshop D + Conference = $1895.00

Important: Please confirm your Program selection by selecting it from the following drop box

                                                            Conference (Only)Workshop A (Only) Workshop A + Conference Workshops A & D (only) Workshops A & D + Conference Workshop D (Only) Workshop D + Conference

If you are attending the Conference do you intend to take the tour of the Edwards BOC facilities?

      Yes    No   Not attending Conference

     Registration Information (Please complete the following)

     Your full name:   As it appears on credit card

     Your Username:  Enter "None" if you are not yet a Society member.

      Street Address:

     Suite or Apt.:      

     City:                        

     State:                   Select State AlabamaAlaska ArizonaArkansas CaliforniaColorado ConnecticutDelaware District of Columbia Florida Georgia Hawaii IdahoIllinois IndianaIowa KansasKentucky LouisianaMaine MarylandMassachusetts MichiganMinnesota MississippiMissouri MontanaNebraska NevadaNew Hampshire New Jersey New Mexico New York North Carolina North DakotaOhio Oklahoma Oregon Pennsylvania Rhode Island South CarolinaSouth DakotaTennesseeTexas UtahVermont VirginiaWashington West VirginiaWisconsin Wyoming  US residents only (Residents of Puerto Rico please                                                                           go to "Outside US")

    Outside US:             (State or Province outside the United States)  
                                                                              Format: State or Province
                                                                              Example: Quebec

     Zip Code:               If your country does not use zip codes leave this box blank

     Country                  US residents use "US". Residents of other countries and Puerto Rico                                           please find and  click on name of your country from the the following pull down lists.

                Africa                                                  Asia                                                   Australia    
     Select CountryAlgeria BeninBotswana Burkina FasoBurundi CameroonCape Verde Central African RepublicChad Comoros Congo Cote D'Ivoire Djibouti EgyptEquatorial Guinea Eritrea Ethiopia Gabon Gambia GhanaGuinea Guinea-BissauKenya LesothoLiberia MadagascarMalawi MaliMauritania MayotteMorocco MozambiqueNamibia NigerNigeria ReunionSao Tome and Pricipe Senegal Sierra Leone Somalia South Alrica St. Helena Sudan SwazilandTanzania TogoTunisia UgandaWestern Sahara ZaireZambia Zimbabwe                      Select Country AfghanistanBangladesh BhutanBrunei CambodiaChina Hong KongIndia IndonesiaJapan KazaldistanKyrgyzstan LaosMacau MalaysiaMaldives MongoliaNepal PakistanPhilippines Republic of Korea Russia Seychelles Singapore Sri Lanka Taiwan Tajikistan Thailand Turkmenistan Uzbekistan                Select Country American SamoaAustralia Federated States of MicronesiaFijiFrench Polynesia GuamKiribati Marshall IslandsNaurn New CaledoniaNew Zealand Northern Mariana IslandsPalauPapua New Guinea PitcairnSolomon Islands TongaTuvalu Vanuatu      

                  Caribbean                                 Central America                                       Europe                
     Select CountryAnguilla Antigua and Barbuda Aruba BahamasBarbados BermudaCayman Islands DominicaDominican RepublicGrenada GuadeloupeHaiti JamaicaMartinique Netherlands AntillesPuerto Rico St. Kitts and NevisSt. LuciaSt. Vincent and the Grenadines Trinidad and TobagoTurks and Caicos IslandsVirgin Islands - British Virgin Islands - U.S.           Select Country BelizeCosta Rica El SalvadorGuatemala (GT) HondurasNicaragua Panama                    Select Country AlbaniaAndorra ArmeniaAustria AzerbaijanBelarus BelgiumBulgaria CroatiaCyprus Czech RepublicDenmark EstoniaFaroe Islands FinlandFrance GeorgiaGermany GibraltarGreece GreenlandHungary IcelandIreland ItalyLatvia LiechtensteinLithuania LuxembourgMacedonia MaltaMetropolitan France Moldova Netherlands Norway Poland PortugalRomania SlovakiaSlovenia SpainSvalbard and Jan Mayen IslandsSwedenSwitzerlandTurkey UkraineUnited Kingdom Vatican City Yugoslavia  
     

               Middle East            North America          South America                           Others
     Select CountryIsrael JordanKuwait LebanonOman QatarSaudi Arabia SyriaUnited Arab Emirates Yemen         Select CountryCanada Mexico         Select CountryArgentina BoliviaBrazil ChileColombia EquadorFalkiand Islands French Guiana Guyana ParaguayPeru SurinameUruguay Venezuela          Select Country BahrainBouvet Islands British Indian Ocean TerritoryChristmas IslandsCocos Islands Cook Island East Timor French Southern TerritoriesMcDonald IslandsMauritius MonacoMontserrat MyanmarNiue Norfolk IslandSamoa San MarinoSt. Pierre and MiquelonTokelau US Minor Ouflying IslandsFutuna Islands

     Telephone No.  

     Fax No.              

     E-Mail Address:

     Important Registration Information - Please read before you register.

• Registration: If you register by check, payment must be received on or before October 1, 2002
• Accommodations: Attendees to the seminar, workshops or conference are responsible for making their own hotel reservations. For on line hotel reservations contact Radisson SAS Hotel Amsterdam Airport.
• Cancellations: Full refunds will be honored for registration to the seminar, one or more workshops, Conference or combination thereof if written notice of the cancellation is received on or before October 4, 2002. No refund will be honored after this date. The Society reserves the right to cancel the seminar or any workshop before October 1, 2002. Attendees will receive a full refund.
• Transfer: You may transfer from one workshop to another if there is room and you give written notice to the Society Office by on or before October 4, 2002.
• Substitutions: Because you are registering by credit card no substitutions will be permitted prior to the start of the seminar, workshop or Conference or during the course of any of these programs.
• No Shows: The attendees who sign up for the seminar, workshop, Conference or combination thereof and do not appear will NOT receive a refund of their fees.
• Waiting List: If you are on a waiting list for any of the above programs and no space becomes available, you will receive a full refund.
• Membership: To attend the Conference you MUST be a member of the Society. If you are not a member you can submit this application form but your acceptance to attend the conference will be predicated on your becoming a member prior to the start of the Conference. To become a member just complete the Membership Application.

Please check your Registration Form. Make sure you have All completed appropriate sections. Printout a copy of the form for your records. You may make corrections by pressing the Reset button and re-enter your information. To submit your registration just click on the Continue to Secure Payment Form button.