Registration Information (Please type or print). Name: _________________________________________________________ (First) (Last) Address: _________________________________________________________ (Street Address) _________________________________________________________ (City) (State) (Zip Code) Phone Number: ________________________ FAX#: _________________________ (Area Code) (Phone #) E-mail Address: _________________________________________________________ Please complete, as applicable, if reserving accomodations in Campus Housing: Check one: Check one: Male __ Female __ Smoking __ Non Smoking __ Check one: Single Room @ $31 Daily __ Double Room @ $23 Per Person Daily __ Roommate's Name ___________________________ Assign Roommate if possible (check here) __ Please complete arrival and departure dates in space provided: Arrival Date: ________________ Anticipated arrival time: _________ Departure Date: ________________ Anticipated departure time: _________ In order to gurarntee housing availability, one night's non-refundable deposit ($31 for single; $23 per person for double) is due by April 28, 2000. Balance due on arrival. Send completed registration form along with non-refundable deposit, payable to IFR 901150, to: Conferences & Special Events 440 Administration SUNY at Stony Brook Stony Brook, NY 11794-1603 Phone # (631) 632-6320 FAX # (631) 632-9503 email: askala@notes.cc.sunysb.edu