2003 ANS Student Conference at Berkeley

Career Fair Registration Form - Check Payment

Please fill out this form to determine your final career fair registration fees. Then use the button at the bottom of the form marked "Print Form" to print out the form. Mail the form and your payment to:

American Nuclear Society
ATTN: Career Fair
4101 Etcheverry Hall, MC#1730
Berkeley, CA 94720-1730

Checks should be made out to "ASUC / American Nuclear Society".
You will be sent a confirmation email when your payment is received.

Organization Name:
Name of Contact Person:
Contact's Email:
Contact's Daytime Phone Number:
Contact's Fax Number:

Item	Number	Cost
Registration Fee (includes two professionals and one resume book) Would you like your resume book on CD in a printed book	(Enter 0 if you are already registered and are merely adding or changing options below.)	$
Additional Professionals ($200 each) (You may add additional professionals at any time by returning to this page and re-submitting the form with additional payment.)		$
Additional Resume Books ($150 each) (You may add additional resume books at any time by returning to this page and re-submitting the form with additional payment.)	CDs Books	$
Total Cost of Career Fair Fees		$