AMS Summer Policy Colloquium

First Name Nickname for badge (if applicable)

Last Name

Company or Agency

Position

Address

City State Zip

Phone Fax Cell

Email

Reading Materials will be sent out in March 2009 shipped directly from the supplier. Please provide the address where the materials should be sent. FEDEX does not deliver to P O Boxes.

Alternate Address for Reading material Shipment

AMS has secured a room block at the Washington Court Hotel. Please indicate your room preference below; paying participants will be required by the hotel to provide the first night's deposit to secure the room. (An invoice will be sent to paying participants for the $4800 registration fee which includes all sessions, workshops, tours/briefings, and materials)

The Washington Court Hotel does not offer the government rate during the peak seasons. Rooms are $249 a night, please contact Jan if an alternative site is needed.

Room Type Select your preference King Non Smoking King Smoking Double Non Smoking Double Smoking Handicapped Access Room

Date of Arrival Date of Departure

Dietary or Special needs

Comments or Questions