BSHS, CSHPS, and HSS Joint Meeting
Conference Registration Form

TO RESERVE YOUR ROOM AT THE HYATT UNION STATION JOINT MEETING RATE ($115), CALL (314) 231-1234 or 1-800-233-1234 BEFORE 11 JULY 2000.
If you prefer to complete your registration by mail, use this form.

REGISTRANT INFORMATION:

Registration category: (check the one that best applies)
BSHS member CSHPS member HSS member Non-member
Name (as will appear on name tag):
First Name MI Last Name
Institution (as will appear on name tag):
Address
City
State/Province Zip/Postal Code Country
Telephone FAX E-mail

REGISTRATION: (required for all participants)

REGISTRATION RATES:

OTHER OPTIONAL ACTIVITIES:

Banquet, Saturday, 5 August
Baseball: Cardinals vs. Braves
Friday night seating chart
Cahokia Indian Mounds & Paddle Wheel Tour
Sunday morning
Missouri Botanical Gardens & Neighborhood Tour
Thursday Afternoon
Notes/Special Needs:
TOTAL OF ALL CHARGES: Please compute your registration rate and any additional optional activities listed above.
$

METHOD OF PAYMENT:
Select One:
Credit Card Type (if applicable):
Credit Card Number: -  -  - 
Expiration Date:
Please note that the transmission of data from this site to the HSS Executive Office IS ENCRYPTED. Your credit card will NOT be charged immediately upon submission, but will be processed individually by the Executive Office. If you do not feel secure about entering your credit card information, you may call us at 206.543.9366 during normal business hours (PDT) and give us that information.
Please make checks payable (in US dollars) to the History of Science Society.
Full refund was only available if requested by 5 July 2000.

Please send your payment (if by check) along with e-confirmation page to:

HSS Executive Office
Attn: Joint Meeting
University of Washington, Box 351330
Seattle, WA 98195-1330

Sorry, no exceptions to registration or refund deadlines can or will be made!

Click on "submit" and this form will automatically be sent to the HSS Executive Office.


Please remember to print the following e-confirmation page for your records.
If you provided an e-mail address, you will also receive a confirmation e-mail.

We'll meet you in St. Louis!!