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  REGISTRATION FORM -- printable for faxing or mailing

  Online Electronic Registration Form - use with credit card payment only.


  • Take advantage of the lower prices on or before September 4, 2001
  • Payment MUST accompany registration form.
  • Payment methods accepted are:
    • Check, bank draft, or money order payable to University of Kentucky.
    • Visa or Mastercard credit cards (We cannot accept other credit cards.)
  • Electronic registration and registration by fax are allowed ONLY if using a credit card. Fax registration to: (859) 257-2173.
  • Payment must be in U. S. Dollars.
  • Please return completed form and payment to:
Geaunita Caylor
UK/OISTL
107 Mining & Mineral Resources Building
Lexington, KY 40506-0107
USA
  • Cancellation with refund (less 15% administrative fee) is available until October 15, 2001.
  • No refunds will be made after October 15, 2001.
  • Confirmation and receipt will be sent only upon request by notifying Geaunita Caylor at 859/257-2820 or email gcaylor@engr.uky.edu. Your receipt will be included with the symposium materials you receive at the registration desk.
  • Substitutions may be made at any time by notifying Ms. Caylor at 859/257-2820. Please advise us in advance of any name changes.
  • Each attendee will be provided with a booklet of abstracts with his/her symposium materials in order to facilitate his/her selection of presentations to attend.
  • We cannot accept any credit card other than Mastercard or Visa.