Personal Information
Title:
Dr.
Mr.
Mrs.
Ms.
First Name:
Last Name(*):
Institution:
Address:
City:
State:
Country:
Select a country
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Anguilla
Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, the Democratic Republic of the
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
England
Equatorial Guinea
Eritrea
Espana
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Great Britain
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and Mc Donald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Republic of
Korea (South)
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Ireland
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa (Independent)
San Marino
Sao Tome and Principe
Saudi Arabia
Scotland
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
Spain
Sri Lanka
St. Helena
St. Pierre and Miquelon
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
USA
Uzbekistan
Vanuatu
Vatican City State (Holy See)
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wales
Wallis and Futuna Islands
Western Sahara
Yemen
Zambia
Zimbabwe
Postal Code:
Phone:
Fax:
Email(*):
Presentation Information
Note: There is a deadline of September 1, 2004 for providing information about a poster or talk. Please refer to the poster session for details on presenting posters.
If you wish to present a poster, please provide the title:
If you wish to present a talk, please provide the title:
Please enter abstract here:
Event Information
I plan on attending the reception at 6pm on Monday, September 27, 2004 in the STScI lobby.
I would like a vegetarian option.
Registration Information
The registration fee covers: the opening reception on September 27, 2004, and morning and afternoon snacks.
The conference registration fee may be paid by:
Credit card : STScI is currently only able to accept Visa and Mastercard credit cards for electronic payment of registration fees.
Check : Make check payable to STScI . Mail your check along with a copy of the confirmation notice of your registration to:
Attention: Patty Reeves
STScI
3700 San Martin Dr.
Baltimore, MD 21218 USA
All credit card information sent as part of this registration process is secure.
Payment by check, cash or credit card will be welcome at the door.
Fee Schedule:
Note: The Registration Fee is $175 US before September 1, 2004, and $200 US after September 1, 2004.
Payment Type:
Select Payment Type
Check
Credit Card
Invited Speaker (Fee Waived)
Hotel Information
To accommodate those attending the Workshop September 27-29, 2004, we have
reserved blocks of rooms in several hotels that are in close proximity to the
Institute. In order to make your reservations from the selections below please
call the hotel of your choice directly. Be sure to have your credit card number
for guarantee. Hotel expenses are the responsibility of the participant and cannot
be reimbursed by STScI (with the exception of the invited speakers).
All reservations should be made as soon as possible as there will be a limited
number of rooms being held in each hotel. Hotel deadline is August 20, 2004 and all remaining rooms will
be released and you will be responsible for obtaining your own accommodations.
STScI will cover hotel (room & tax only) expenses for invited speakers at the Inn
at the Colonnade. If you are an invited speaker, please fill in your
check in and check out dates and proceed with the online booking.
I am an Invited Speaker
Expected Check In Date:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
Expected Check Out Date:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
If you have questions or need assistance, contact Grace Lee,
Travel Coordinator, at glee@stsci.edu or 410-338-2620.
Comments, Questions, or Concerns