REGISTRATION FORM
37th Annual Meeting of the Society for Mathematical Psychology
Department of Psychology, University of Michigan
Ann Arbor, Michigan
July 29-August 1, 2004
(Please print or type)
Last Name (Dr./Prof./Mr./Ms.) ____________________________________________________________
First Name ___________________________________________________________________________
Name as it should appear on name badge ____________________________________________________
Affiliation ____________________________________________________________________________
Address _____________________________________________________________________________
City/State/Zip
_________________________________________________________________________
(or non-U.S. equivalent)
Country _____________________________________________________________________________
Office Phone _________________________________________________________________________
Home Phone _________________________________________________________________________
Fax Number _________________________________________________________________________
e-mail ______________________________________________________________________________
WWW _____________________________________________________________________________
Registration Fees (Please fill in your choices)
Note: If you are only attending the Workshop or the
Festschrift,
you may use this form and check at the appropriate box
Full
payment due by
Registration Fees for the Annual Meeting
(Fee covers Thursday evening’s open reception, Friday and Saturday’s box lunch,
Saturday’s banquet and daily coffee break refreshment)
On/Before June 28, 2004 After June 28, 2004 and on-site
SMP member: ( ) $110 ( ) $125
Non-member: ( ) $130 ( ) $145
Student member: ( ) $55 ( ) $70
Registration Fee for the Tutorial Workshop
(Fee covers box lunch and coffee break refreshment)
( ) $20
Registration Fee for the Falmagne Festschrift
(Fee covers Sunday night banquet and coffee break refreshment)
On/Before June 28, 2004 After June 28, 2004 and on-site
Regular (member and non-member) ( ) $80 ( ) $80
Student (with proof of student status) ( ) $40 ( ) $60
TOTAL REGISTRATION = $ ____________________
Saturday Night Banquet Dinner for Accompanying Guests:
( ) $30/each x ___ = $ ______________
Sunday Night (Falmagne Festschrift) Banquet Dinner for Accompanying Guests:
( ) $60/each x ___= $ ______________
TOTAL ENCLOSED = $ ____________________
Payment (Registration payment must be made
in U.S. currency)
To avoid credit card surcharge, check payment is
preferred!!
(
) Check or money order enclosed, made payable to the
( ) Charge my credit card.
( ) MasterCard ( ) VISA
Account # ______________________________________________________
Expiration Date __________________________________________________
Authorized Signature ______________________________________________
Credit Card Billing Address_________________________________________
______________________________________________________________
______________________________________________________________
Special Needs
Individuals with special needs to accommodate a motor or sensory impairment should indicate their needs in the space below. Special dietary requirements should also be noted.
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Mail completed form and payment (U.S. funds only) to:
SMP
2004 c/o Dr. Jun Zhang
Department of Psychology
525 East University Ave
University of Michigan
Registration may also be sent by FAX (734-763-7480) when payment is through credit card. For security reasons, we will not accept phone registration. Please send one registration form per person.
If you have any questions about registration, you may e-mail the conference organizers at junz@umich.edu.