APPLIED ECONOMETRICS ASSOCIATION
2001 Membership and Preregistration Form
Special Seminar held in conjunction with WRSA Annual Meeting
Riviera Resort & Racquet Club, Palm Springs, California ~ February 25 - 28, 2001
Note: Everyone whose name appears on the Program as a participant in the AEA Seminar Sessions must pay the registration fee and be a dues-paid 2001 member of AEA.  Membership in WRSA is also strongly encouraged, though not required.  AEA registrants are welcome to attend all WRSA sessions.  Participants in WRSA Annual Meeting sessions who have paid the WRSA Registration Fee and 2001 WRSA dues are welcome to attend the AEA sessions without paying AEA dues or separate AEA registration, however membership in AEA is strongly encouraged.

Combined AEA Seminar Preregistration and 2001 Dues

____ $155.00 U.S.   AEA Member Registration and Dues  (if paid before February 1, 2001)
                                                   (After February 1, pay at conference; on-site registration plus AEA dues: $170.00 U.S.)

____ $50.00 U.S.     WRSA 2001 Dues (Strongly encouraged, but not mandatory for AEA participants; after February 1 WRSA dues are $55))

____ $50.00 U.S.     Extra (e.g., spouse) Banquet and Receptions Tickets
 

_______  TOTAL AMOUNT PAID
 

Note: Your Registration Fee includes a Banquet Luncheon Ticket, Drink Tickets for the Opening Reception, and the WRSA President’s Reception, Coffee Breaks, Program and Meeting materials, and it helps pay our A/V, publicity, and other costs of holding the Special Seminar and WRSA conference.
 

PAYMENT OPTION:

• Check enclosed _____.  Make Payable (in U.S. Funds) to:  WRSA

• Credit Card.  Charge to my:  ___ Visa Card or ___ Mastercard.    Signature: ___________________________

   Card Number:  __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __   Expiration Date: _________________

Note: The only credit cards WRSA can accept are Mastercard and Visa. We cannot accept American Express or Eurocheques.  Please note that charges will appear on your statement from The University of Arizona Foundation, which manages WRSA’s finances.  Your AEA dues will be remitted to AEA by WRSA.

Complete All Information Below:

NAME:_______________________________________________________________________________
              (Last, First, Middle)

ADDRESS: ____________________________________________________________________________
                      (Dept., Inst. Name)

                    ____________________________________________________________________________
                     (Number, Box, Street)

                   _____________________________________________________________________________
                    (City, State/Province, Country)                                                                         (Zip/Postal Code)

_______________________   _______________________________   _____________________________
(Telephone)                                                       (FAX)                                                    (Electronic Mail Address)


SEND THIS FORM TO:
Professor David A. Plane, Executive Secretary / Western Regional Science Association
Dept. of Geography & Regional Dev. / University of Arizona / Harvill Building, Box #2 / Tucson, Arizona  85721  USA
Phone: 520-621-1738 or 621-1652; FAX: 520-621-2889; Email: plane@u.arizona.edu; Web Site: http://geog.arizona.edu/wrsa/

Note: Because of the membership benefits received, dues and meeting registration fees are not U.S. tax-deductible as charitable contributions; consult your tax advisor regarding their deductability as business expenses.