Address:

Telephone:

Fax

Contact:

e-mail

Exhibit Reservation

TABLES:

One Table ($175.00)

Second Table ($145.00)

Additional Tables (@$120.00 each)

Late Fee ($50, after 31 August)

Delegate Packet Inserts (@ $25/100)
(600 delegates expected to preregister)

BOOKS: (Combined Book Exhibit)

Individual Books (@$15.00 each)
(Please note: Individual books in the combined
book exhibit become the property of HSS)

TOTAL

Send reservation form (due 31 August) and packet inserts (due 4 October)to:

Book Exhibit Coordinator
History of Science Society
University of Washington, Box 351330
Johnson 236
Seattle, WA 98195-1330

To send materials to the hotel:

Your Name
Adam's Mark, Denver
History of Science Society, 8-11 November, 2001
1550 Court Place
Denver, CO 80202

(Please ship all materials so that they arrive the week
of the conference, and not before.)

Make checks payable in US Dollars to "History of Science Society." Or you may pay by credit card:

Visa:____________________________________________________________

MC ____________________________________________________________

Expiration Date: ____ /____

Name / Signature: _______________________________________________________

To receive a name badge and delegate packet, exhibitors must register for the meeting.
You may register online at http://depts.u.washington/hssexec.
You will receive a complimentary registration for each reserved table, up to a maximum of four registrations.

email: hssexec@u.washington.edu

Phone: (206) 543-9366

FAX: (206) 685-9544