Registration

* Mr. Ms. Mrs.
* First:	* Last:	MI:
Name for Badge (If different than first name):
* Title:
* Institution or Agency:
* Please enter your postal mailing address in the text box below:
* Phone:
FAX:
* Email address:
Please include me in the on-line attendees list.
Do NOT include me in the on-line attendees list.
Please include me in the printed attendees list.
Do NOT include me in the printed attendees list.

**Registration fee schedule:

I will be attending the CANS 2002 symposium from August 21-23, 2002. The fee for the symposium is $400US.

Payment for all events is due August 10, 2002. Please make checks payable to University of Maryland Foundation.

** Lodging is not included. Please see our hotel information page.

Please specify the following:

Do you have special dietary needs?
Yes
No

If yes, please specifiy in the text box below:

Other Requests and Comments

If you have any other special needs, or require further information. please send email to cans2002@umail.umd.edu.

Payment by check or money order should be made payable to: University of Maryland Foundation
No cash or credit cards please.

Return to:

CANS 2002
Theresa Smith
Office of Information Technology
Patuxent Building
University of Maryland
College Park, Maryland 20742-4911

For more information: