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: ₀ Credit card: - MasterCard - Diners Club - Visa - American Express Credit card number: ________________________________ Security code (back of card) ________________________________ Signature: ________________________________________ Expiraon 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/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.