NORTH AMERICAN BRANCH
THE CHARTERED INSTITUTE OF ARBITRATORS

INTERNATIONAL COMMERCIAL ARBITRATION PROGRAMS

CHICAGO, ILLINOIS May 30, 31 and June 1, 2002

COURSE/WORKSHOPS REGISTRATION FORM

To: North American Branch Telephone: 312.503.1828
The Chartered Institute of Arbitrators Fax: 312.503.2035
c/o Mr. Pete Wentz E-mail:  p-wentz@law.northwestern.edu
Northwestern University School of Law (Do not email this form - print and mail or fax only)
357 East Chicago Avenue  
Chicago, Illinois 60611 This form is page 1 of 2. Next page (2 of 2)

Name __________________________________________________________________________________

Address _______________________________________________________________________________

_______________________________________________________________________________________

Telephone ____________________ Fax __________________E-mail _____________________________

I hereby register to attend the following indicated Course/Workshop of The Chartered Institute of Arbitrators at Chicago, Illinois, May 30, 31 – June 1st, 2002:

*US$700 (US$650 if received before 3/20/02) International Entry Course [IEC]
   
*US$800 (US$750 if received before 3/20/02) The Fast Track to Fellowship Programme/Assessment
Workshops [FTAW]
   
  I will sit the Award Writing Examination on June 1st
   
  Award Writing Examination Only (US$25)

Accompanying person - US$85.00   NAME:_____________________________________

(Accompanying person(s) will be included in the Course Dinner on Thursday evening)

*Tuition/fee includes all Course Materials, Luncheons, and Dinner on evening of May 30.

I recognize that the Course/Workshop is limited in attendance (on a first received basis) and that travel and hotel accommodations are my responsibility, and are not included in the Tuition.

Make Checks payable to "Northwestern University CLE". Enclosed find a check/draft (on a U.S. bank) covering tuition/fees* in the sum of US$__________ (based on fee schedule referred to above).

Please enclose a recent curriculum vitae/resume with this Registration Form. For those who wish to apply for membership in The Chartered Institute of Arbitrators, please bring with you to the Course/Programme a black and white passport photograph or a 3x5.