Guest Registration Form

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GUEST REGISTRATION FORM FOR THE TWENTY-FIFTH

ASP MEETING OKLAHOMA CITY, OKLAHOMA -- JUNE 1-4, 2002

GUEST NAME (as it will appear on name tag)

_________________________________________________________

ADDRESS:

_________________________________________________________
_________________________________________________________

AFFILIATION (for name tag, if appropriate):

_________________________________________________________

GUEST** Registration Fee (fees are not refundable) (Please note higher fee for registering on site!) SPECIAL NOTE: REGISTRATION INCLUDES CONTINENTAL BREAKFASTS, LIGHT SNACKS, LUNCH, RECEPTIONS, AND THE BANQUET

(check One)

BEFORE JAN 18

AFTER JAN 18

[ON SITE]

**Attends Social Events Only

$95.00 q

$115.00 q

[$135]

NAME OF SPONSORING REGISTRANT

__________________________________________________________
(Include fees on Registration Form)

Pre-Order your 2002 ASP Silver AnniversaryT-shirt for Just $20!

ASP Commemorative T-shirts will be available at the Oklahoma City meeting. The T-shirts will be Hanes 50/50 white, with images printed in full color. The conference logo will be printed on the front - small on the upper left side. A photograph will be printed on the back.

(Please note: Final T-shirt design is subject to slight modification.) Limited numbers will be available, so pre-order your T-shirt by completing this form. Sizes are small, medium, large, x-large, and xx-large. Shirts are $20 each.

Size	Qty
Small	________
Medium	________
Large	________
X-Large	________
XX-Large	________

Payment Options
Check or money order (make checks payable to ASP)
Credit Card	q Visa q Mastercard
Card Number:	__________________________________
Exp Date:	__________________________________

Total Price

___________

Authorizing Signature:

__________________________________