| QWIP 2000 Workshop | |||||||||
| Registration form | |||||||||
July 27 - 29, 2000 |
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| First Name | Last Name | ||||||||
| Affiliation | |||||||||
| Address 1 | |||||||||
| Address 2 | |||||||||
| City | State/Province | ||||||||
| Postal Code | Country | ||||||||
| E-mail address | |||||||||
| Office phone | Office fax | ||||||||
| Would you like to present your paper at the workshop? Yes No |
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| Media Requirements: | |||||||||
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| Meal requirements: | |||||||||
| Yes, I will attend the luncheon on July 28 | |||||||||
| Yes, I will attend the dinner on July 28 | |||||||||
| Yes, I will attend the luncheon on July 29 | |||||||||
| Yes, I would like to bring a guest to the dinner (additional cost of $40) | |||||||||
Note: This form will be submitted to a different server (mems.jpl.nasa.gov) from the one you are connected to now. Once you receive confirmation, the 'BACK' button will return you to the main conference page. |
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| Registration checks
must be in US funds, made payable to Caltech. Credit cards, purchase orders, foreign
checks or foreign currency will not be accepted for registration. Fees: $250
(postmarked on or before June 30th); $300 (postmarked after June 30th). You may also
pay the registration fee ($300) on site -- in cash or USD check (US
funds). **Foreign participants who register prior to June 30th may pay the early registration fee on site.** Please mail your registration and check to:
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