SCASAís Twenty-Third Annual Workshop in Applied Statistics

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Survival Analysis:Ý Analysis of Right Censored Time to Event Data

with Scott Emerson

SATURDAY, May 1, 2004, 8:45 a.m. - 3:30 p.m.

College of Business Administration Building, Rm. 140 - California State Univ., Long Beach

REGISTRATION FORM

Name (as youíd like it on badge):_______________________________________________________ÝÝÝÝ

Email Address:___________ Telephone:_

Mailing Address:____________________________________________________________________

Business/Academic Affiliation (for badge):________________________________________________

Registration Fee if postmarked with payment on or before April 19th

(includes lunch; parking is free this year)

___Regular @ $50ÝÝÝÝÝÝ ___SCASA member @ $40ÝÝÝÝÝÝ ___Full-time student @ $10

(You may join SCASA for $12 and take the member price:Ý http://orion.oac.uci.edu/~rnewcomb/statistics/scasa/scasa.html - click on ìChapter Membership Informationî and send the membership and a separate $12 check to SCASA in the same envelope with this workshop registration form and $40 payable to Workshop in Applied Statistics to Anita Iannucci.)

ÝÝÝÝ Box Lunch choice (check one):ÝÝÝ ___ Grilled Chicken Pesto Sandwich; fruit salad, chips, & cookies

ÝÝÝÝÝÝÝÝÝÝÝÝ ÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝ ÝÝÝÝÝÝÝ___ Roasted Vegetables & Brie Sandwich; fruit salad, chips, & cookies

ÝÝÝÝÝÝÝÝÝÝÝÝ ÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝ ÝÝÝÝÝÝÝ___ Cobb Salad (chicken, avocado, tomato, egg, bacon, blue cheese), roll, & cookies

Registration fee if postmarked after April 19th or paid at the Workshop

(limited number of lunches available for later registrants; parking is free)

___Regular or SCASA member @ $55ÝÝÝÝÝÝ ___Full-time student @ $15

Please mark a lunch choice above, but lunch is not guaranteed for late registrants.

Make your check payable to ìWorkshop in Applied Statisticsî and return it with this form to:ÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝÝ

Anita Iannucci

Center for Statistical Consulting

University of California

Irvine, CA 92697-5105

Please enclose a self-addressed stamped envelope (we strongly recommend a home address) for return of your registration confirmation and directions to the event.

Refund requests cannot be honored after April 19th.Ý If you are making a refund request, please send a self-addressed stamped envelope and also email Anita at iannucci@uci.edu.

For further information:Ý Anita Iannucci at iannucci@uci.edu or 949-824-1682 (afternoons).Ý

SCASAís web site:Ý http://orion.oac.uci.edu/~rnewcomb/statistics/scasa/scasa.html

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