Registration Form To Register, send this form and payment to: "ISDC 98, P.O. Box 2102, Milwaukee, WI 53201"
ISDC '98 only: [ ] $60 thru February 28, 199 (will be $90 at the door) [ ] $75 March 1st through April 30th [ ] $90 May 1 through Conference [ ] Students $25 [ ] $15 extra (optional) for new first time memberships in National Space Society (regular dues $35/year) [ ] $20 non-refundable option: "Supporting Membership" in ISDC '98 Milwaukee, upgradable to full membership at any time for $10 less then the balance on the then applicable rate [ ] $3 Roommate Matchup Service All registrations postmarked by April 15 will be eligible for a drawing for a meal function of their choice at the speakers table. There will be two winners. Name_________________________________ Affiliation_______________________________ Address________________________________________ E-mail__________________________ City__________________________ State_______________ Zip_________ [ ] First ISDC? Phone #_______________________________ Best Time to Call _________am _________pm Check or Money Order #________________________________ Amount Enclosed $________ Credit Card #______________________ [ ] MasterCard [ ] Visa [ ] American Express Card Expiration Date ______/______ Name of Card Holder _________________________ Authorized Signature____________________________________________________________ For more information about ISDC '98 Milwaukee registration Contact Charlotte Nelson at (414) 466-2081, or for all other matters, Peter Kokh at (414) 342-0705 (best 6-9 am Central and 6-10 pm Central) (if you use voice mail give name and number slowly!)