___ Check or money order enclosed, payable to Westar Institute
                      (U.S. dollars drawn on a U.S. bank only)

Please bill my  ___ Visa  ___ MasterCard  ___ Discover  ___ AmEx

Card Number                                    Security Code (Visa)* ______
     (*the last three digits in the signature block on the back of the card)

Exp. Date             Signature                               

First Name___________________________________ Second Name*__________________________________
                                          (*member's spouse may register at the member price)

Address _______________________________________________________ City _______________________ 

State _______________ Zip __________  Day phone ____________________________________________

Refunds are available if requested in writing by September 16 minus a $40 administrative fee. No refunds will be given after that date.    

Mail to Westar Institute, PO Box 7268, Santa Rosa, CA 95407 or fax to 707-523-1350