PRE-CONFERENCE WORKSHOP REGISTRATION FORM
Please type or print
Name_____________________________________________Title_________________________________________
Institution____________________________Name on Name Tag_______________________________
Address____________________________________City/State/County/Zip________________________________
Work Phone_____________Home Phone_____________Fax_____________E-mail________________
Workshop Registration Fee
Your registration fee covers workshop materials and a refreshment break.
Early Registration: $50 (postmarked by March 24, 2002) / $60 after March 24 .............. $__________
Make your personal or institutional check payable in US dollars to Assessment Conference 2002. The federal tax id # is 72-1505869.
Complete and mail this form together with payment to:
Louise Miura
University of Hawaii at Manoa
2600 Campus Road, SSC 406D
Honolulu, HI 96822
Cancellation Policy
No penalty will be charged for cancellations by March 24, 2002. Cancellations after March 24 will be subject to a 50% assessment.
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