2006 SCOR General Meeting 23-26 October 2006 Concepción, Chile

Registration Form

2006 SCOR General Meeting

Concepción, Chile

23-26 October 2006

Please return to SCOR by FAX (+1-410-516-4019) or by email (scor@jhu.edu) by

31 May 2006

Name: __________________________________________________

Address: __________________________________________________

__________________________________________________________

Phone: ___________________________________________________

FAX: ___________________________________________________

Email: ___________________________________________________

I will attend the SCOR General Meeting: Yes ________ No _________

If yes, I plan to arrive on Oct. ______ and leave on Oct. _______.

Are you a Nominated Member to SCOR? Yes ______ No ______

If yes, are you willing to serve on ad hoc Finance Committee, if asked?

Yes ________ No ________

We will send a briefing book to you before the meeting. Please provide the address at which you can receive overnight mail between Sept. 17 and 23 (if different from address above):

Please list any special meal requirements: _______________________________________