NAME: ________________________________________________________

Preferred first name: ________________________________________

TITLE: ________________________________________________________

ADDRESS: ______________________________________________________________

____________________________________________________________________

Phone:

Email:

Ring as appropriate

ASOR MEMBER  &nbs;YES   NO

Registration:    $250 (ASOR members) $350 (non-members)

Student:   &125

Find enclosed a cheque for $_____________

payable to ASOR Inc.

or charge to

BANKCARD    MASTERCARD  VISA

Number:_____________________________________

Expiry date: _______/_______

Name on card: _______________________________

Signature:

Date:

Send registration to: ASOR
c\o Paul Lochert
11 Laura Grove
Mt Waverley
VIC 3149

Tel: 03 9802 4628
Fax: 03 9903 2227
Email: p.lochert@sci.monash.edu.au

Closing date for registration: Monday 26 April 1999 NOTE: This workshop will also be presented in Sydney on Thur May 6 1999