FDP/Stanford/University of California System
Conference on Cost-Sharing
Wednesday, December 1, 1999
Nob Hill Masonic Center, 1111 California Street, San Francisco, CA

 Friday, November 12, 1999


Last Name:       _____________________First Name: _____________________
Title:               _____________________________________________________
Department:     _____________________________________________________
Organization:    _____________________________________________________
Street Address:  _____________________________________________________
City:                   ________________________   State:   _____Zip: ____________
Phone:    (______)_________________  Fax:  _______________________
Email:                _____________________________________________________

Everyone:  Check all that apply:

ð  I am part of an FDP Member/Affiliate Member Institution
ð  I am not part of an FDP Member/Affiliate Institution
Check one that applies:

ð   I am the Federal Agency's (one) official Administrative Representative (the voting member)
ð   I am the Federal Agency (one) official Program Representative (the voting member)

ð   I am the FDP University or Research Institution's (one) official Administrative Rep(the voting
ð   I am the FDP University orResearch Institution (one)  official Faculty Rep (voting member)

ð  I am part of my group's delegation - I am not an official, voting,  representative.
REGISTRATION FEE:  Transferable, But Non Refundable after Nov. 12, 1999
$95.00 - All participants (FDP Members and Non Members)
Please send your check to arrive by Friday, Nov. 12, 1999.  Sorry - no credit cards.  Please give your accounting office  Federal Tax I.D. No.  042103594, which is the I.D. number for the Massachusetts Institution of Technology.  Make check payable to FDP-MIT and send with registration form to:
Jackie SandsStaff Associate, FDP/GUIRRThe National AcademiesFO2014-KWashington, D.C.  20418(202) 334-3486; (202) 334-1505 (fax)email:  jsands@nas.edu For office use only:   Date Check Received:Check from:Check date:Check No.:                               Check Amount:Website address corrected !Listserve email address corrected  !