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PROSIM2000 - SOFTWARE PROCESS SIMULATION MODELING
To be held on July 12-14, 2000 at Imperial College, London, England 

Please download or print  this registration form and MAIL OR FAX TO: 
Ms. Joan Hayse School of Business Administration, P.O. BOX 751, Portland, OR 97207-0751  FAX : 1-503-725-5850
 

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.
I authorize payment of $496 USD to PSU

    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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