____ Early Registration (by Oct.6) ------------ $70.00

____ Registration (after Oct.6)    ------------ $85.00

____ Student Registration          ------------ $15.00

____ Guest Registration            ------------ $30.00

Total enclosed $________________________________________

(Please make check payable to ASEE FALL Conference-1998)

Name ___________________________________________________

Name(s) of Guests ______________________________________

Title __________________________________________________

Department _____________________________________________

Organization ___________________________________________

Address ________________________________________________

City ___________________________________________________

State ___________________________Zip ___________________

Phone _______________________Fax _______________________