INTERNATIONAL ASSOCIATION OF CONFLICT MANAGEMENT CONFERENCE
San Sebastián-Donostia, Spain, June 20-23, 1999

CONFERENCE REGISTRATION FORM

Name (last, first, middle): _____________________________________________________________________

Title: _________________________ Name for Name Badge: _________________________________________

Organization:_______________________________________________________________________________

Address:___________________________________________________________________________________

________________________________________________________________________________________

City, State, Country, Postal Code: _______________________________________________________________

Telephone (work) _________________________________ Fax: ______________________________________

E-mail address:_____________________________________________________________________________

Emergency contact, name/phone/country:_________________________________________________________

Please list any special needs:___________________________________________________________________

Conference Fee (includes Sunday dinner, Monday evening banquet, luncheons on Monday, Tuesday and Wednesday, admission to all conference sessions, and a copy of the conference proceedings):

Member (before May 15)                       US $250.00 x  # attending ______ = $____________

Non-Member (before May 15)              US $275.00 x   # attending ______ = $____________

Member (after May 15)                          US $270.00 x  # attending ______ = $____________

Non-Member (after May 15)                 US $285.00 x  # attending ______ = $____________

Spouse Registration (meals only)        US $125.00 x  # attending ______ = $____________

Optional excursion to Loyola and
luncheon on Sun., June 20                     US $42.00 x  # attending ______ = $____________

Optional excursion to Guggenheim
Museum/dinner on Tues., June 22       US $53.00 x  # attending ______  = $____________

Optional contribution to the Rubin Award Fund (US $10, $25, $50)            = $____________

                                                                           TOTAL:   = $____________

Payment:

[   ] Check/Money Order (in pesetas or U.S. dollars, payable to Departamento De Psicología Social Y Metodología)

[   ] Visa   [   ] Mastercard       Card #_____________________________________ Expiration Date:_____________

Signature:________________________________________

Please return this form by mail or fax with payment BEFORE MAY 15 for the best rates to:

Note: There will be a $25 fee for cancellations after June 1, 1999.

For more information about the conference, please contact:
Local Arrangements Chair: Sabino Ayestarán (fax: 34-943-311055; e-mail: pspayets@sc.ehu.es)
Program Chair: Bruce Barry (fax: 516-343-7177; e-mail: iacm99@owen.vanderbilt.edu)
IACM President: Barbara Gray (fax: 814-863-7261; e-mail: b9g@psu.edu).