Registration Form
Name Badge Information (please type) Name________________________________________________________________________Institution____________________________________________________________________
City__________________________________________ State_______ Zip_____________
Contact Information
Name________________________________________________________________________
Address______________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Phone__________________________ Fax______________________
e-mail__________________________
Registration Fee
Please check category and include check or money order made payable to Association of Research Directors.
___Administrators/Directors $250
___Faculty/Scientists $250
___Government/Industry $100
___Students/Staff $100
___Spouses $75
___Banquet/Luncheon additional tickets $50
Print out this form, type in your information, include a check, and mail by February 15, 2000 to:
Conrad K. Bonsi
Tuskegee University
Tuskegee, AL 36088
(334) 727-8333