Please Fill Outand Fax Ore-Mail Back to Scsin Order to Receiveyourstudentdiscount

SocietyforModelingSimulationInternational(SCS)Phone:(858)277-388811315 Rancho Bernardo Road Suite 139, San Diego, CA 92127 Fax:(858)277-3930

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Student Verification & PaymentForm
(Applicable to Undergraduate, Master and Doctoral Students)

(Please fill outand fax ore-mail back to SCSin order to receiveyourstudentdiscount)

STUDENTINFORMATION:

FullName:

Badge Name:

PhoneNumber:

E-mail:

MailingAddress:

City:

State/Province:

Zip/PostalCode:Country:

SCHOOLINFORMATION:

Name:

Address:

City:

State:Postal Code:_

Country:

FacultyAdvisor’sName:

PhoneNumber:

E-mail:

CONFERENCEINFORMATION:

Symposium on Simulation for Architecture and Urban Design

Areyoupurchasing a workshop? Y /N (pleasecircle)

Ifyes, whatisthe workshop name?:

N

TOTALDUE:.……………………………………………………………….…..…….$Method ofPayment

CreditCard:MC VISAAMEX DISCOVEROther(pleasecontactSCS)CreditCard Number: Exp.Date Nameon Card: Billing Address: SAMEASABOVE
Address: City: State/Province: Zip/PostalCode: Country:

IherebyattestthatIamafull-timestudentattheabovelistededucationalinstitution.IauthorizeTheSocietyforModelingSimulation(SCS)toverifymystudentstatusbycontactingtheabovelistedfacultymember.Iacknowledgethattheinformationprovidedinthisstatementisaccurateandcompletetothebestofmyknowledgeandisprovidedbymeofmyownfree willforthe solepurposeofreceivingtheSCSstudentdiscount.

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SCSCONFERENCECANCELLATION/REFUNDPOLICY

AllSCS conference cancellationsand requests for refundsmustbe madeinwriting and senttotheSCSMain Office.Requests maybee-mailed,mailedorfaxed (contactinformationbelow).Telephonerequestswillnotbe honored.

FullRefunds –More than30Days NoticeToreceive afullrefund,SCSmustbe receive written requestsnolater than30dayspriortothefirstday oftheconference.

50%Refunds–Lessthan 30Days NoticeRefundrequestsreceivedwithin30days ofthestart oftheconferencewillbe subjecttoa50%refund.

NoRefunds–Within2Weeks

Refund requests receivedwithin2 weeksofthestart ofthe conference willnotbeeligiblefor arefund.

AuthorRefunds

Authorswhohavetheirpapersincludedintheproceedingsarenoteligiblefora refund.Authorsmayreceivearefundiftheywithdrawtheirpapersbeforethepaperisincludedinelectronicorhard-copyproceedings.

Emergency Illnessor Death ofRegistrantor Immediate FamilyMember:Refundsmaybe granted ifanattendeeisunable to attend theConferencedue toa family death,illness, orotherextraordinarycircumstance.In suchacircumstance,theSCSMain Office mustbe contactedbyphone,letterore-mail.SCS willrefund feesassoon aspossibleand no later three(3)weeksafter theconferencehasconcluded.

Substitution Policy: Registrantsmaysenda substitutein theirplacein lieuof requestinga refund.

To request arefund,contactthe SCSMainOffice at:

TheSocietyforModelingSimulationInternational

ConferenceCancellation/RefundInquiry11315 Rancho Bernardo Rd. Suite 139

San Diego,CA92127

E-mail:Fax: 858-277-3930Phone:858-277-3888