Instructions: Print and complete this form and mail to the address below.
Last Name:
First Name:
Title:
Organization:
Address:
City:
State:
Zip:
Daytime Phone No.:
Fax No.:
E-mail Address:
Do you plan to present a poster?
Registration Fee: $100.00 ($25.00 for students). It includes two mixers, two breakfasts, one lunch and a BBQ. Please make checks payable to the Statistics Faculty Fund.
Return this form with payment by mail to:
Department of Statistics Symposium
c/o Mrs. Carol Rozear
University of Florida
Department of Statistics
P.O. Box 118545
Gainesville FL 32611-8545