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Registration Form

Please use this form for each person.

The registration fee is: $200 for Participants ($75 for Student Participants) if paid prior to the conference. If registration is paid at the workshop, the fee will be $250 for Participants ($85 for Student Participants). The registration fee is waived for speakers.

Registration Info
Name:
Institution/Company:
Address:
City:
State:
ZIP:
Country:
Telephone:
Fax:
Email:
Other Contact Info:
Payment Info
Attending the conference as:

To take advantage of the lower pre-conference registration fees, please provide credit card payment information below
Credit Card Type:
Your Name (as it appears on card):
Credit Card Number:
Expiration Date:
Poster Session
Please indicate if you are interested in presenting a poster.Yes No
Title/Topic:
Bluebird Cafe Night
Do you wish to attend the Bluebird Cafe entertainment and dinner Thursday night Yes No
(All costs except alcoholic beverages paid for by conference. Transportation will be available.)

Number of additional guest who will join you? (Add $22/person to your registration fee and make sure your credit card information is entered correctly above if you are paying now.)
Comments:
Such as special dietary needs:
Accommodations
Don't forget to make your hotel reservations! See the accommodations page for special rates we have secured for the conference.
Contact Info
Conference Secretariat:	Donald Pickert false2002@vanderbilt.edu (615) 322-6164, mailbox 110 Vanderbilt University Department of Physics and Astronomy VU Station B351807 Nashville, TN 37235