Title: _____Prof. _____Dr. _____Mr. _____Mrs. _____Ms.

Last Name: _________________________________________________ Middle Initial _____

First Name: _________________________________________________

Affiliation/Institution: _____________________________________________________

Address: ________________________________________________________________

________________________________________________________________________

City: ______________________ State/Province: _______________ Postal/Zip Code ____________

Country: ____________________________ Phone Number: ____________________________

Fax Number: _________________________ E-mail: ___________________________________

Name of your hotel: _____________________________________________________________

Number of additional guests you will bring: ______

Guest name(s): 1.___________________ 2. ______________________3. ____________________

I plan to attend the complimentary Friday afternoon (1/8/99) Getty Center: _____ Yes; ______No

I plan to bring ____additional people to the Getty Center (guests receive complimentary admittance)

Early Registration-until December 11, 1998 _____Regular $275; ______Student $100
(fax must be received by Dec. 11th or envelope must be postmarked by Dec. 11th):

Late Registration- after December 11, 1988 _____Regular $325; ______Student $150

I would like to purchase: _____1 ($50); _____2 ($100); _____3 ($150);_____4 ($200) additional Friday night Banquet tickets (guest tickets are $50/person-there will be no refunds)

Make Check Payable to "UC Regents" OR

Complete the following credit card information:

Credit card type: _____VISA; _____Mastercard: _____Discover Card; _____JCB

Cardholder name: ______________________________________________

Card number: _________________________________ Expiration Date: _________________

Card Holder's Signature: ______________________________________