First Name:____________________________________________________________________

Last Name:____________________________________________________________________

Title:_________________________________________________________________________

Affiliation:_____________________________________________________________________

Address:______________________________________________________________________

Address:______________________________________________________________________

Email:________________________________________________________________________

Telephone:___________________________________

Fax:________________________________________

I will attend the reception, sponsored by Indiana University, on November 3, 1999,
6:30 - 8:30 pm, University Place Conference Center:  Yes______ No_____

I am most interested in exploring the following issues at the meeting. Attach additional sheets, if necessary, and refer to Renewing the Federal Government-University Research Partnership for
the 21st Century for background: http://www.whitehouse.gov/WH/EOP/OSTP/html/rand/index.htm

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

NOTE:
· You are responsible for booking your own hotel reservations. A block of rooms has been reserved at the meeting site: University Place Hotel http://www.universityplace.iupui.edu/, 1-800-627-2700. Please call before October 9, 1999, and reference the CIC/OSTP meeting.
· Indianapolis is on Eastern Standard Time.
· There is no fee for registration