Society for Chaos Theory in Psychology & Life Sciences

Registration and Membership for

2001 Annual International Conference and Workshops

To ensure proper credit, please complete the following and return with your payment. Please print clearly.

Name __________________________________________________________________________________________

Address _________________________________________________________________________________________

City/State/Province/Zip/Postal Code ___________________________________________________________________

Country _______________ E-mail ________________________ Tel:__________________ FAX_______________

Students: What is your institution and program of study? ___________________________________________________

Please check your registration choices on the form below. If you are paying by check, the check must be payable in US Dollars, drawn on a US Bank, to: Society for Chaos Theory in Psychology & Life Sciences (or SCTPLS). Return this form with your payment to Mary Ann Metzger, Ph.D. SCTPLS Secretary, 1010 Dyre Street, Philadelphia, PA 19124. USA.

FAX: 419-791-7816.

To register by email, it is not necessary to use this form, just send requested information to metzger@umbc.edu.

1. MEMBERSHIP—New and Renewals

_____$60 2000-2001 Regular includes Vol. 5 of NDPLS, Membership thru 31-August-01, Newsletters, and annual poster.

_____$50 2000-2001 Student membership includes Vol. 5 of NDPLS, Membership thru 31-August-01, Newsletters, and annual poster.

_____$90 SPACE ODESSEY NEW MEMBERSHIP PLAN: Includes membership through 31-August-02, Newsletters, 2000 program abstracts and back Newsletters as available, NDPLS volumes 5 and 6. Annual posters.

_____$45 EARLY RENEWAL: Active members can renew their membership and NDPLS subscription early thru 31-August-02. Limited time offer. All the usual goodies are included.

2. CONFERENCE REGISTRATION (includes banquet) – Before 20 July, 2001

_____$145 Regular members

_____$ 75 Student members

_____$200 Non-members (You can join now, though, and receive membership discounts)

_____$ 25 Additional after 20 July, 2001

_____$ 75 Non-member spouse (Anytime).

3. WORKSHOPS

Dynamics for Dummies (Intro to NonlinearDynamics)

_____$100 Regular

_____$ 65 Students

Complexity Science for Organizational Researchers

_____$100 Regular

_____$ 65 Students

Rhythm, Chaos, and Control in Human Biology

_____$100 Regular

_____$ 65 Students

4. PLEASE TOTAL YOU SELECTIONS

_____________ TOTAL

Payment type: ________ Check (see above)

______ American Express _______ Discover

______Mastercard _______ Visa

Card # _________________________________

Exp date _______________

Signature _______________________________

(signature is not required for e-mail registrations).