ASA/ICA `98 REGISTRATION FORM
[Complete and return with appropriate payment by Mail or Fax to: Acoustical Society
of America, 500 Sunnyside Blvd., Woodbury, NY 11797, USA; Fax: 516-576-2377.]

Please type or print clearly                 ASA member:   __Yes __ No

_____________________________________________________________________________
Last Name (Surname)              First Name            Middle Initial

Name as it should appear on badge____________________________________________

Company/Organization_________________________________________________________

Street Address_______________________________________________________________

_____________________________________________________________________________
City              State/Province      Zip/Postal Code          Country

Tel. Number__________________________Fax Number______________________________

E-mail Address_______________________________________________________________

Name of Accompanying Guest (for badge)_______________________________________

                                             before    after
                                             16 March  16 Mar

FULL REGISTRATION                            $300      $350      $_______
Includes Sessions, CD-ROM Proceedings
Exhibits, Opening Ceremony Receptions, Cruise/Salmon Dinner

STUDENT/EMERITUS                             $150      $175      $_______
Includes Sessions, CD-ROM          (send copy of your
Proceedings, Exhibits, Opening     Student ID card
Ceremony, Receptions, Cruise/      with this form
Salmon Dinner

ACCOMPANYING GUEST                           $100      $100      $_______
Includes Exhibits, Opening 
Ceremony, Receptions, Cruise/Salmon Dinner.

OPTIONS
BANQUET- Thursday evening          # tickets______ x $45 ea.     $_______
PROCEEDINGS (printed copy)         # copies_______ x $35 ea.     $_______
SHORT COURSE: $250 before 1 May /$300 after 1 May                $_______

TOTAL REMITTANCE (U.S. Dollars)                                  $_______

PAYMENT METHOD:

___ Check or money order payable to Acoustical Society of America
(Note: Checks must be drawn on a U.S. bank in U.S. Dollars. Non-U.S. bank drafts
and wire transfers will not be accepted.

__Visa  __M/C  __AmEx: Card #__________________________Exp Date_______

EVENT RESERVATIONS FOR PLANNING PURPOSES:  Please check events that
are included in registration that you plan to attend:
____  Sat., 6/20  evening reception          ___Mon, 6/22 social/reception
____  Sun., 6/21 Opening Ceremony            ___Wed., 6/23 Cruise/Salmon Dinner
____  Guest will attend the Mon., 6/22 Guest Reception 
Return to ICA/ASA `98 General
Information