June 17, 2003
McDonnell Douglas Auditorium, University of California, Irvine

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Registration Form

Space is limited - register early!


The Early Registration deadline is Monday, June 9.

  • Registration by June 9: General Admission - $75, Sponsors - $50, UC and ISR - no cost.
  • Registration after June 9: General Admission - $100, Sponsors - $75, UC and ISR - no cost.



Registration Information:


*Required field

*First Name:
Middle Initial:
*Last Name:
Preferred Name on Name Badge:
Title:
Affiliation:
*Street Address1:
Street Address2:
Street Address3:
*City
*State
*Zip
*Email Address:
*Phone:
Fax:

 

* Registration Cost:

A list of sponsors is available.

* Payment Method:

I will pay by credit card (Visa or Mastercard Only).
I will pay by check or money order.
My fee is waived (UC, ISR).

  • Checks and money orders should be made payable to UC Regents.
    Bring your check with you to registration.

  • To pay by Visa/Mastercard, please submit this form and call Shannon Richesin at (949) 824-7951 to provide your credit card information securely.

 

Where did you hear about this event? (e.g. ISR email list, OC Register, OC Business Journal, UCI Zot Mail, etc.)


Special Needs:

If you have any special needs, please explain:

Additional Comments:


 

Registration includes mid-afternoon snacks and the reception. Lunch is not provided. Parking is a separate $8 cost, should you choose to purchase a permit with registration. (Purchase Permit option not available after June 9. Parking and directions information is available.)

Cancellation policy: After June 9, substitutions only - no cancellations accepted.

  


* If you experience any difficulty with the on-line registration process, you may contact Shannon Richesin at (949) 824-7951 to register by phone.

 


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