Reimbursement of expenses for:
__ Speaker
__ Graduate student support
__ Reimbursement requested and approved before the Meeting
__ Reimbursement requested now for the first time

Name:  _______________________________________________________________
 
Institution: _________________________________________________________

Social Security No. (or Visa No. and type for nonresidents)
       _______________________________________________________________
 
Address where check can be sent:
       _______________________________________________________________
       _______________________________________________________________
       _______________________________________________________________
       _______________________________________________________________
 
Please list  expenses and enclose all  original receipts for expenses  over $6
for lodging, airfare, transportation, and meals or a signed statement explain-
ing why receipts  are not available.  Credit card receipts  are not acceptable
without an original bill.  If a personal car is used, please note the accurate
round trip mileage.
 
       _______________________________________________________________
       _______________________________________________________________
       _______________________________________________________________
       _______________________________________________________________
       _______________________________________________________________
 
Days you attended the Seminar: __ Friday __ Saturday __ Sunday
 
Please return before November 13, 1999, to

******