Conference on Group Processes in Computer-Supported Interaction:  Technological and Social Determinism

CONFERENCE ADVANCED REGISTRATION FORM


CONTACT INFORMATION:

First Name

Middle Initial

Last Name

Institution

Telephone (day)

Email address

MAILING INFORMATION:

Street Address

City

State

Zip Code

Country

ADVANCED REGISTRATION FEES:
(March 1, 2005 Deadline)

Students $40

Faculty/others $80

Registration includes breakfast, lunches and morning and afternoon snacks on Friday and Saturday, plus dinner on Friday!

(on site registration is $50 for students and $90 for Faculty/others)


PLEASE PRINT THIS FORM AND MAIL IT TO THE ADDRESS BELOW WITH A CHECK PAYABLE TO MIAMI UNIVERSITY:

Beth Dietz-Uhler
Department of Psychology
Miami University
Oxford, OH 45056



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