To register for the 1997 Fall Technical Conference, please print this page and submit separate registration forms for the conference and the hotel. Send the registration forms to
| Conference registration | M.A. Bailey, P.O. Box 249, Hockessin, DE 19707-0249 |
| Hotel registration |
Omni Inner Harbor Hotel, Reservation Dept., 101 W. Fayette Street,
Baltimore, MD 21201
Phone: (410) 752-1100 |
| Conference Registration Form |
| Attention: M.A. Bailey, P.O. Box 249, Hockessin, DE 19707-0249 |
Please circle the sessions that you will most likely attend:
Thursday, October 16: 1A 1B 1C 2A 2B 2C 3A 3B 3C
Friday, October 17: 1A 1B 1C 2A 2B 2C 3A 3B 3C
Name: ______________________________________________________________
Badge Name: _______________________________________________________
Company: __________________________________________________________
Address: __________________________________________________________
City/State/Zip: ___________________________________________________
Telephone: ________________________________________________________
Please circle whichever categories apply:
I am a: Member Senior Fellow of ASQC
I am a: Member Senior Fellow of ASA
I am in Division: C&PID STAT ASA-SPES
I am not a memeber of ASQC or ASA
REGISTRATION FEES:
Please submit one form for each person attending.
Two days..............................................................$190
Thursday, October 16th only...........................................$150
Friday, October 17th only.............................................$150
Student (ID Required).................................................$ 75
Late Registration Fee (after September 15th)..........................$ 10
Pre-conference Short Courses, October 15th
Using Designed Experiments to Shrink Health Care Costs..............$150
Course Text (required to attend), ASQC Members....................$ 36
Course Text (required to attend), non-ASQC Members................$ 40
How to Apply Statistical Thinking to Improve Results................$150
Tour of Baltimore, October 16th.......................................$ 45
Harbor Dinner Cruise, October 16th....................................$ 40
Tour of Annapolis, October 17th.......................................$ 45
Total.............................................................$_______
MAKE CHECKS PAYABLE TO FTC-1997.
No credit cards/purchase orders accepted.
All fees payable in U.S. dollars only.
Federal Tax ID #390912502 Detach Here
DON'T FORGET TO REGISTER SEPARATELY FOR THE HOTEL.
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| Hotel Registration Form |
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Mail to: Omni Inner Harbor Hotel, Reservation Dept., 101 W. Fayette Street,
Baltimore, MD 21201
Phone: (410) 752-1100 |
Name: __________________________________________________________________________ Company: _______________________________________________________________________ Address: _______________________________________________________________________ City/State/Zip: ________________________________________________________________ Telephone: _____________________________________________________________________ Please reserve _______________(# of rooms) for __________________( # of people) For arrival on ________________________ Depart on _____________________________ Name(s) of person(s) sharing accomodations: _________________________________________________________________________________ _________________________________________________________________________________ Check or money order enclosed in amount of $ ___________________________________ Credit Card # _____________________________________________ Exp. Date _________ Circle One: AMEX MasterCard VISA Other (specify)_____________________________ I authorize the Omni Inner Harbor Hotel to charge my account for one night's deposit and all applicable taxes. Signature ______________________________________________________________________ PLEASE MAKE RESERVATIONS BY SEPTEMBER 15TH!!DON'T FORGET TO REGISTER SEPARATELY FOR THE CONFERENCE. |