Registration Form

The Seventh Annual Global Finance Conference

      Dr. Ms. Mr.
      First Name:
      As it will appear on badge
      Last Name:
      As it will appear on badge
      Attendee Type:
      Organization/University:
      Title:
      Address 1:
      Address 2:
      City:
      State/Province:
      Zip/Postal Code:
      Country:
      Phone:
      Fax:
      Email:
      Confirmation will be sent to this email address


      How did you hear about this conference?

      [Hotel Information]

      Please indicate which hotel you are staying at:



      Arrival Date:
      Departure Date:

      [Food Preference]

      Please indicate your preference:
      		 Vegetarian Non Vegetarian

      [Registration Fees]
        Before 3/1/00 After 3/1/00 Amount
      Academician US $100 US $150 -----------
      Practitioner US $200 US $250 -----------
      Student US $50 US $100 -----------
          TOTAL -----------

      Due to security concerns we are unable to accept credit card information through the internet.

      Effective April 16, 2000,
      Please either forward your registration form to the Program Chair, or register at the conference site.



      Credit Card Type:

      Card No.:

      Expiration:
       Input format: mm/yyyy

      Name as it Appears on Card:


      [Emergency Contact and Phone Information]

      Daytime Contact Name:
      Daytime Phone Number:
      Evening Contact Name:
      Evening Phone Number:

        You have now registered for this conference and should receive an email confirmation within 2 business days. When you receive the confirmation, please verify that the information listed in the email is accurate.