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Radar Meteor Workshop - Registration


Radar Meteor Workshop


Radar Meteor Workshop
Registration Form

Registration Deadline is October 1st, 2002

* = Required Field

GENERAL INFORMATION:

1. Name - Last:*   First:*

    Name for badge (if different):


2. Institution:*


3. Professional Level:*
      (If other, please specify: )


4. Mailing address:*
     


5. Email address:*


6. Telephone Number (please include country code if not the U.S.):*


7. Fax Number (please include country code if not the U.S.):


8. As accommodation is limited, we request that everyone attending share a room
     with another participant. Are you willing to share a room?
                                  Yes, I am willing to share
                                  I do not wish to share a room*
                                  I do not need a room


9. Do you have any special dietary requirements ? [Vegetarian, Diabetic, Vegan, etc.]





Financial Support:


10. We have limited financial support for this meeting.
       Will you need financial support?

                 If so, do you need support for:      (please select only those that apply)

                                                Plane fare ?          estimated ticket cost $
                                                 
                            Conference fee waiver ?    

                 Please justify why you need financial support. Any financial support you are
                 awarded will be listed with your school acceptance notice. (Note: as funds
                 are limited we may not be able to fully - or even partially - support you.)
                                 




Other Details


11. Would you like to make a brief presentation at the meeting?
   No thanks.
  Only if it is an oral presentation (5-10min limit)
   An oral presentation is preferred, but I'd be willing to give a poster
  I would like to show a poster at the meeting

                 If you wish to give a talk or poster, please give a title and brief abstract
                                 



12. If you have any suggestions for the meeting, topics you would like to see discussed, etc. please enter then here.
         









If you have questions or problems with this form please send email to djanches@naic.edu