1
Registraon Fees Quanty On or before June 2 June 3 through July 9 On or aſter July 10 Subtotal 2020 Society Membership January 1 - December 31, 2020 Please refer to Membership Fee Table Online US$ Social Program Ticket for Guest 4 US$125 US$130 US$160 5 US$ Voluntary donaon to conference scholarship fund US$ TOTAL PAYABLE US$ Dinner Choice You (no extra fee) Guest(s) (please purchase a Social Program cket below) Non-vegetarian # and name(s) for badge: Vegetarian # and name(s) for badge: Banquet Dinner: Indicate meal choice, number and name of guest(s). Payment Details: Credit card: - MasterCard - Diners Club - Visa - American Express Credit card number: ________________________________ Security code (back of card) ________________________________ Signature: ________________________________________ Expiraon date: ___________________________________ or Check enclosed (Check in US$ drawn on a US bank payable to System Dynamics Society.) Wire transfer (We will send bank details. All sending and receiving bank transfer fees/charges are the responsibility of the registrant.) Please note: To register and pay online, please visit www. systemdynamics.org/registraon Please send registration form and payment to: (PLEASE PHOTOCOPY THIS FORM AS NEEDED) Post: System Dynamics Society 230 Washington Ave Extension, Suite 101 • Albany, NY 12203, USA E-mail: offi[email protected] Web: systemdynamics.org 38 th International Conference of the System Dynamics Society Bergen, Norway | July 19 – 23, 2020 Registraon Form Registraon Form Please type or print CLEARLY your details in the form below or register online on the conference website. First Name: ______________________________ Last Name: ____________________________________________________________ Salutation (Dr., Ms., Mr. etc.): _______________ Familiar first name _____________________________________(to appear on your badge) Position or job title: _______________________________________________________________________________________________ Organization: ____________________________________________________________________________________________________ Postal Address: __________________________________________________________________________________________________ City/State: ____________________________ Postal Code: ___________ Country: __________________________________________ E-mail: ________________________________Telephone: ___________________________________(country code - area code - local number) Ifyou plan to attend the System Dynamics Colloquium event on Sunday, July 19th, please register on the SD Colloquium website. 1 Member discounts are for System Dynamics Society members. See “Join the Society” on the SDS website for membership informaon. 2 Current Society members with annual incomes under US$20,000. 3 Summer School Tuion is in addion to the conference registraon fee. 4 For anyone NOT registered for the conference. Includes Poster Symposium Buffet and Conference Banquet. 5 Social Program ckets for guest(s) will be sold on-site only if available. Cancellaon Policy: Any cancellaon or change in conference registraon must be submied by e-mail to the Society office (offi[email protected]). Cancellaons on or before June 02, 2020 are subject to a cancellaon fee of 50%. Thereaſter, no refund will be given; however, a registraon may be transferred to a substute parcipant. students 3 US$450 US$450 US$450 Member 1 US$670 US$760 US$940 US$ Supported Member 2 US$350 US$395 US$475 US$ Full-me Student Member US$350 US$395 US$475 US$ Non-Member US$810 US$900 US$1080 US$ Summer School Tuion 3 US$900 US$900 US$900 US$ Summer School Tuion full-me q Check here if you will require an attendance certificate. I have reviewed the following at https://www.systemdynamics.org/code-releases: q Photo and Video release q Conference App release q Participants List release q Attendee Code of Conduct for Meetings q Check here if you are a first-time participant at the International Conference of the System Dynamics Society.

th International Conference of the System Dynamics Society ... · Post: System Dynamics Society 230 Washington Ave Extension, Suite 101 • Albany, NY 12203, USA E-mail: [email protected]

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Page 1: th International Conference of the System Dynamics Society ... · Post: System Dynamics Society 230 Washington Ave Extension, Suite 101 • Albany, NY 12203, USA E-mail: office@systemdynamics.org

Registration Fees Quantity

On or before June 2

June 3 through July 9

On or after July 10 Subtotal

2020 Society MembershipJanuary 1 - December 31, 2020

Please refer to Membership Fee Table Online

US$

Social Program Ticket for Guest 4 US$125 US$130 US$160 5 US$

Voluntary donation to conference scholarship fund

US$

TOTAL PAYABLE US$

Dinner Choice You (no extra fee) Guest(s) (please purchase a Social Program ticket below)Non-vegetarian # and name(s) for badge:

Vegetarian # and name(s) for badge:

Banquet Dinner:Indicate meal choice, number and name of guest(s).

Payment Details: ₀ Credit card:

- MasterCard - Diners Club   - Visa - American Express

Credit card number: ________________________________

Security code (back of card) ________________________________

Signature: ________________________________________

Expiration date: ___________________________________

or ₀ Check enclosed (Check in US$ drawn on a US bank payable to

System Dynamics Society.)

₀ Wire transfer (We will send bank details. All sending and receiving bank transfer fees/charges are the responsibility of the registrant.)

Please note: To register and pay online, please visit www.systemdynamics.org/registration

Please send registration form and payment to: (PLEASE PHOTOCOPY THIS FORM AS NEEDED)

Post: System Dynamics Society 230 Washington Ave Extension, Suite 101 • Albany, NY 12203, USA E-mail:[email protected] Web:systemdynamics.org

38th International Conference of the System Dynamics SocietyBergen, Norway | July 19 – 23, 2020

Registration FormRegistration FormPlease type or print CLEARLY your details in the form below or register online on the conference website.

First Name: ______________________________ Last Name: ____________________________________________________________

Salutation (Dr., Ms., Mr. etc.): _______________ Familiar first name _____________________________________(to appear on your badge)

Position or job title: _______________________________________________________________________________________________

Organization: ____________________________________________________________________________________________________

Postal Address: __________________________________________________________________________________________________

City/State: ____________________________ Postal Code: ___________ Country: __________________________________________

E-mail: ________________________________Telephone: ___________________________________(country code - area code - local number)

IfyouplantoattendtheSystemDynamicsColloquiumeventonSunday,July19th,pleaseregisterontheSDColloquiumwebsite.

1 Member discounts are for System Dynamics Society members. See “Join the Society” on the SDS website for membership information.

2 Current Society members with annual incomes under US$20,000.3 Summer School Tuition is in addition to the conference registration fee. 4 For anyone NOT registered for the conference. Includes Poster Symposium Buffet and Conference Banquet. 5 Social Program tickets for guest(s) will be sold on-site only if available.

Cancellation Policy: Any cancellation or change in conference registration must be submitted by e-mail to the Society office ([email protected]). Cancellations on or before June 02, 2020 are subject to a cancellation fee of 50%. Thereafter, no refund will be given; however, a registration may be transferred to a substitute participant.

students 3 US$450 US$450 US$450

Member 1 US$670 US$760 US$940 US$

Supported Member 2 US$350 US$395 US$475 US$

Full-time Student Member US$350 US$395 US$475 US$

Non-Member US$810 US$900 US$1080 US$

Summer School Tuition 3 US$900 US$900 US$900 US$

Summer School Tuition full-time

q Check here if you will require an attendance certificate.

I have reviewed the following at https://www.systemdynamics.org/code-releases:

q Photo and Video release q Conference App release q Participants List release q Attendee Code of Conduct for Meetings

q Check here if you are a first-time participant at the International Conference of the System Dynamics Society.