AGRICULTURAL STATISTICS 2000 CONFERENCE REGISTRATION FORM Please complete in CLEAR CAPITAL LETTERS and return with payment to: GRADUATE SCHOOL, USDA 600 MARYLAND AVENUE, SW ROOM 142 (IH) WASHINGTON, DC 20024 U.S.A. Title: [ ]Prof. [ ]Dr. [ ]Mr. [ ]Ms. Family Name _________________________________ First name _____________________ Institution ___________________________________________________________________ Mailing Address [ ]Home [ ]Institution _______________________________________________________________________________ _______________________________________________________________________________ City ____________________________ Code/Zip ______________ Country ____________ Telephone ________________________________ Fax _______________________________ E-mail ________________________________________________________________________ Name as you would like it to appear on conference name badge: _______________________________________________________________________________ [ ]I would like to contribute a two-page paper Title of contributed paper _____________________________________________ Suggested session ______________________________________________________ Registration Fees (in U.S. $) On or before January 15, 1998 U.S. $150 After January 15, 1998 U.S. $175 [ ] Attached is payment in the amount of U.S. $_______ made out to Graduate School, USDA [ ] Attached is a U.S. Government Purchase Order [ ] Please charge my []Mastercard []Visa []American Express []Diners Club Credit Card Number___________________________________Expiration Date___________ Name as it appears on the card ________________________________________________