PROSIM2000 - SOFTWARE PROCESS
SIMULATION MODELING
Please download
or print this registration form and MAIL OR FAX TO:
Last Name:_____________________________ First Name:_______________________ Title:________ Organization:______________________________________Department:_________________________ Address:_____________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Email:________________________________Tel:__________________________ fax:______________ Special dietary requirements: ___________________________________________________________ Registration: $496 USD PAYMENT OPTIONS: [ ] By check: Please make check (in US Dollars) payable to ‘Portland State University’ and post by first class or airmail to Ms. Joan Hayse address as above. [ ] By Credit
or Debit Card: Post or fax form to Ms. Joan Hayse.
Visa [ ] MasterCard [ ] ONLY Name on card: _________________________________ Card number: ________________________ Issue number (if applicable): ______________________ Expiry date of card: ____________(mm/yy) Contact Phone number in case of difficulty: _______________________________________________ Signature of cardholder: _________________________________ Please confirm your registration to Ms. Joan Hayse by fax as soon as possible (1-503-725-5850).Postal address: School of Business Administration, P.O. BOX 751, Portland, OR 97207-0751 IMPORTANT!! Accommodation: We have reserved a limited number of single en-suite rooms at the Imperial College student residence at Pembridge Gardens. If you require this, please mark it below and book it on the Accommodation Form. [ ] Pembridge Gardens ( Student room) – Please make reservation on Accommodation Book Form [ ] My own accommodation. – Please visit here for Hotel information We are also negotiating special terms with a number of hotels near Pembridge Gardens. This will be posted to the ProSim web page soon! For queries on matters relating to registration, please contact Joan Hayse at joanh@sba.pdx.edu or 1-503-725-4764
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