REGISTRATION FORM

Uncertainty: Its Nature, Analytical Treatment and Interpretation
February 10-11, 2000

Early Registration Deadline January 26, 2000

Please print and fill out this page and mail it with your check or fax it with credit card or purchase order information to Society headquarters at the address at the bottom of the form. You are considered registered when full payment or purchase order has been received. If FAXING your registration, please DO NOT mail the original. Seating is limited, so please register early.

________________________________ Name

________________________________ Institution

________________________________ Address

________________________________ City

________________________________ State or province

________________________________ Zip or postal code

________________________________ Telephone

________________________________ Facsimile

________________________________ Electronic mail

Registration Fees

_____        $300 for SRA members,
_____        $300 for government employees,
_____        $200 for graduate students,
_____        $400 for others,
_____        $200 for additional persons registering at the same time.

_____        $350 for SRA members,
_____        $450 for others,
_____        $250 for additional persons registering at the same time.

Check

Make checks payable to Society for Risk Analysis. Mail your check with this form to the address below.

Credit card

____ Visa
____ Mastercard
____ American Express
__________________________ Card number

__________________________ Expiry date

__________________________ Cardholder name

__________________________ Signature

__________________________ Credit card billing address

__________________________

__________________________ Total amount

Purchase order

__________________________ Purchase order number

__________________________ Institution

• FAX your completed registration form, with credit card information or purchase order, to 703-790-2672
• MAIL your completed registration form, with check, purchase order or credit card information, to

Registration includes morning pastries, beverage breaks, lunches, wine and cheese reception. Be sure to arrange for lodging directly with the Key Bridge Marriott (800-228-9290) which is offering rooms for $129 to SRA workshop attendees if booked before 19 January 2000.