REGISTRATION FORM FOR THE TWENTIETH ASP MEETING
                                 SAN DEIGO, CALIFORNIA
                                 JUNE 27 - JULY 1, 1997

Name (as it will appear on name tag) ___________________________________________________

Short name, also to appear on name tag (e.g. "Sue"; "Bill") ____________________________

Address ________________________________________________________________________________

What affiliation would you like on your name tag? ______________________________________

Telephone(   )_______________  FAX(   )_______________  E-mail _________________________

                  Registration Fee Schedule (fees are not refundable)

   Membership status (check one):                      before JAN. 15 / after JAN. 15

   ____ Regular member                                        $110.00 / $150.00

   ____ Student member                                         $70.00 / $100.00

          signature of faculty advisor _______________________________

   ____ Non-member                                            $150.00 / $190.00

   ____ Guest (attends social events only)                     $75.00 / $115.00

          name of registered participant sponsoring you as a guest _____________________

ASP T-shirts are $15. Indicate number of: ___small ___med. ___large ___x-large = $______

________________________________________________________________________________________

AMOUNT ENCLOSED:  REG.FEE $___________  +  T-SHIRT(S) $___________  =  $_____________
                                                           (MAKE CHECK PAYABLE TO ASP)
________________________________________________________________________________________

Are you submitting an abstract as presenting/senior author?  ___no  ___yes
     
(title____________________________________________________________________________)

   If yes: Send this form with abstract, disk, and other forms, along with a check
   for the registration fee, to Dr. Evan Zucker, Department of Psychology,
   Loyola University, New Orleans, LA 70118.  POSTMARK DEADLINE: JANUARY 15, 1997.

   If No: Send this form and your registration fee to Dr. Nancy Caine, Department
   of Psychology, California State University San Marcos, San Marcos, CA 92096.

SPECIAL NOTE: Registration includes the banquet/dance. What is your favorite dance song?

  title ____________________________________________  by _______________________________