Tricap 2003
Registration Form

Registration Number

(Automatically Generated)

This form requires Internet Explorer 4.0 or higher.  It is not compatible with other browsers.
Please Complete All Fields
Last Name Name on Tag
First Name Organization
Address 1
Address 2
City State
Zip Country
Email
Transportation

Flying Driving Other

Fees

Participant fees are $340 USD and each traveling companion is $300 USD.  If you do not know whether you will be traveling with a companion at this time, just indicate that below.  If you are registering after March 15th and a slot is still open, then an additional $100 USD will be required for late registration.

I will be bringing guest(s) at $300 USD per guest (enter "0" if no guests will be coming)

I plan to bring a guest, but will send separate payment by March 15th

       (send check only to TRICAP 2003, c/o Department of Statistics, University of Kentucky, Lexington, Kentucky 40506 USA)
Guest Names

Payment

Space is limited.  When the registration limit is reached, this site will shut down and your payment will not be processed.
Total Due  
Total Authorized
Payment Method
Card Number
Expiration (mm/yy)  /
 
Last Update: 11/25/2002
For problems with this page contact Conference Management