:::Registration:::                    

         

PROSIM 2003 - SOFTWARE PROCESS SIMULATION MODELING

To be held on May 3-4, 2003 at Portland State University, Portland, OR, USA
 

Please download or print this registration form and MAIL or FAX to:

Dr. David Raffo

School of Business Administration, P.O. BOX 751, Portland, OR 97207-0751

FAX: 1-503-725-5850

            Registration Form >>

 

Last Name:_________________________ First Name:_________________________
   
  Title:_____________
 

 
 

Organization:_________________________________________________________________________
   
  Department:__________________________________________________________________________
   
  Address:______________________________________________________________________________
   
  ______________________________________________________________________________________
   
  ______________________________________________________________________________________
   
  Email:___________________________________Tel:__________________________________________
   
  Fax:_________________________________________
   
  Special dietary requirements: _________________________________________________________
   
  Registration:
  [  ] Before March 28, 2003   $350 USD
  [  ] After March 28, 2003     $450 USD
   
 

Payment Option:
 

[  ] By check: Please make check (in US Dollars) payable to ‘Portland State University’ and post by first class or airmail to Dr. David Raffo address as below.
 

[  ] By Credit or Debit Card: Post or fax form to Dr. David Raffo.
   
 

I authorize payment of ________ 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: _________________________________
   
 

 

Postal address: School of Business Administration, P.O. BOX 751, Portland, OR 97207-0751
   
 

IMPORTANT!!  Accommodation: We recommend that people stay at the Portland Hilton (ICSE Conference Hotel) http://cs.oregonstate.edu/icse2003/travel/venue.html This hotel is in walking distance to Portland State University where ProSim’03 will be held.  Alternatively, ProSim attendees can stay at the DAYS INN City Center
   

           

           

            

 

 

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