Registration Form

To Register, send this form and payment to:
"ISDC 98, P.O. Box 2102, Milwaukee, WI  53201"

ISDC '98 only:
[ ] $60 thru February 28, 199 (will be $90 at the door)
[ ] $75 March 1st through April 30th
[ ] $90 May 1 through Conference
[ ] Students $25

[ ] $15 extra (optional) for new first time memberships in National Space
    Society (regular dues $35/year)

[ ] $20 non-refundable option: "Supporting Membership" in ISDC '98 Milwaukee,
    upgradable to full membership at any time for $10 less then the balance
    on the then applicable rate

[ ] $3 Roommate Matchup Service
	
 
All registrations postmarked by April 15 will be eligible for a drawing 
for a meal function of their choice at the speakers table. There will be 
two winners.

	
Name_________________________________ Affiliation_______________________________


Address________________________________________ E-mail__________________________


City__________________________ State_______________ Zip_________ [ ] First ISDC?


Phone #_______________________________ Best Time to Call _________am _________pm


Check or Money Order #________________________________ Amount Enclosed $________


Credit Card #______________________ [ ] MasterCard [ ] Visa [ ] American Express


Card Expiration Date ______/______ Name of Card Holder _________________________




Authorized Signature____________________________________________________________

For more information about ISDC '98 Milwaukee registration Contact Charlotte Nelson
at (414) 466-2081, or for all other matters, Peter Kokh at (414) 342-0705
(best 6-9 am Central and 6-10 pm Central) (if you use voice mail give name and
number slowly!)

Online Form for Meal Functions