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

Credit Card This form is page 2 of 2. Previous page (1 of 2)

Please charge US$____________ to my Credit Card as follows:(*Delete as appropriate)

  Visa         Mastercard

Card Number:
- - -

Expiration Date ______________

Signature___________________________________________________Date_____________________ ,2002

Cancellation Policy

In the event of a cancellation by you, which must be made in writing, the following charges will apply.

Notice prior to the commencement of the event: Cancellation Charge

Less than 1 month Full fee
1 - 2 months US$100
2 months or more US$ 50

The North American Branch of The Chartered Institute of Arbitrators reserves the right to cancel, curtail or change programmes, their content and the names of speakers, lecturers and tutors without prior notice.

Date First Qualified as a Lawyer ____________________. Jurisdiction __________________________________

Number of years involved in Dispute Resolution ______________________.

SIGNATURE____________________________ DATE______________________2002

CLE credit will be applied for in Illinois by The Institute at its cost. Participants from other states wishing CLE credit may apply for it directly.

Accommodations form (mail or fax directly to hotel, or phone Reservations).

Note: For details on accommodations contact Mrs. Jean A. Arkin, at 303.691.2800, fax 303.757.2863, or e-mail JAArkin@aol.com.