1 Start 2 Complete CONFERENCE REGISTRATION FORM Jamaica Statistics Society Symposium 2019 Personal Information First Name Middle Name Last Name Title Prof Dr. Mr Mrs Ms Sex Male Female Job Title Organization Mailing Address: Street City/Town Country Phone: Office Fax Mobile/Alternate Email: REGISTRATION AND PAYMENT INFORMATION REGISTRATION FEES – Circle all that apply: Do you wish to become a member of or renew your membership with the Jamaica Statistical Society? Yes No Conference Only SYMPOSIUM Early Registration Jul. 1 – Sept. 29, 2019 Members - US$200 Non-Members - US$220 Students (with ID) - US$100 SYMPOSIUMLate Registration Sept. 30 – Oct. 28, 2019 Members - US$240 Non-Members - US$260 Students (with ID) - US$120 SYMPOSIUM On site Registration Oct. 29 – Nov. 1, 2019 Members - US$260 Non-Members - US$290 Students (with ID) - US$130 JSS Membership Fee Membership Fee Members - US$40 Non-Members - US$40 Students (with ID) - US$10 Pre-Conference Workshop WORKSHOP Oct. 29, 2019 Data Analysis Using R Programming Software (8:30am12noon) Members - US$200 Non-Members - US$220 Students (with ID) - US$100 Group Rate(>5 persons) - US$140 WORKSHOP Oct. 29, 2019 Multiple Linear Regression Using Stata (1:00- 4:30pm) Members - US$140 Non-Members - US$160 Students (with ID) - US$75 Group Rate(>5 persons) - US$120* WORKSHOP Oct. 30, 2019 Using SPSS Analysis Tools in Microsoft Excel (8:30am – 4:30pm) Members - US$220 Non-Members - US$240 Students (with ID) - US$110 Group Rate(>5 persons) - US$150 Method of Payment: Cash: $ Cheque (made payable to Jamaica Statistical Society ) $ Money transfer (e.g. Western Union) $ Accommodations and Events Hotel Accommodation Required: Yes (Please see Hotel Accommodation Information Form) No The Jamaica Statistical Society, Office 6, Epidemiology Research Unit, 7 Ring Road, UWI, Mona, Kingston 7, Jamaica. Tel: 1876 977 0746/927 2471 ext 224/227 or E-mail: email@example.com.