ONLINE REGISTRATION FORM

 
Click here for Hotel Information

First Name:
Last Name:
Job Title:
Organization:
Address:
City:
State:
Postal Code / Zip:
Country
Phone:
Fax:
Email:
Name to appear on Badge:
   
 
   
By
8/20/04
After
8/20/04
   
  Participant
$300
$350
   
  Student
$200
$250
             
  Banquet at Riverhorse on Main Street - Sept 16th  
        $45
Registration Fee:
 
 
Optional Dinner:
 
 
Registration fee must be paid PRIOR to or at on-site registration.
Payment Method: Pay by Credit Card - You will be directed to a secure       page to enter credit card info.
 
Check payable to U of U - Tax Id # 87-6000525
   
Please mail check payment to:

University Conference Services - TPHOls
University Guest House
110 South Fort Douglas Blvd.
Salt Lake City, UT 84113

Please be sure to include the name of the registrant on the check.
Registration may be completed by mail, fax or Internet. A confirmation letter will be sent upon receipt of the completed registration form and payment. If cancellation of your registration is necessary, you may send written notice to the address above. Cancellations made by September 1, 2004, will be accepted subject to a cancellation charge of $25. Registrants who do not attend the conference or who cancel after September 1, 2004 are responsible for the entire registration fee. Substitutions, however, may be made at any time.