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Space Telescope Science Institute May Symposium Registration Form

The Space Telescope Science Institute May Symposium

The Hubble Deep Field, May 6-9, 1997

The Space Telescope Science Institute will host a symposium on The The Hubble Deep Field. The program will consist of invited talks and posters.

After completing this form, click the "Submit" button at the bottom to send it. The information will be sent to Cheryl Schmidt at STScI and to yourself. If you have any questions, please call her at 410-338-4404, FAX 410 338 5090 or email at schmidt@stsci.edu. The registration fee is $150 before April 1, 1997, and $170 thereafter. ALL PAYMENTS MUST BE MADE IN US DOLLARS. Checks or money orders are accepted. Credit cards are not acceptable for the registration fee. Please note how you intend to pay the registration (by mail or at the door.)

Please complete and return this registration no later than April 1, 1997 .

Fields or sections marked with a * are required before your registration is accepted.

Contact Information

Your name:
*First:      
 Middle:     
*Last:       

Be sure to give us your complete email address or the registration will
fail. 

*E-mail address:   
*Telephone number: 
 Fax number:       
 
Institution:       
 
*Mailing (postal) address:
         
         
         
Country:
*Payment method (by mail or at the door):

Poster Title and Abstract

If you intend to present a poster, input a brief abstract, approximately 100 words including the title.

My 1st choice for hotel accomodations is (check one) :

Notes: Rooms are limited at the Colonnade. A shuttle will be provided for guests at the Cross Keys and Clarion hotels. The Colonnade is within walking distance of the Institute. After April 1, STScI must release unused rooms back to the hotel. After this date you must call the hotel directly and availability can not be guaranteed. A deposit must be made in US dollars made payable to the appropriate hotel, not STScI. Do not send one check for both the registration fee and the hotel deposit.

      Colonnade, Single Room, $139.00 + tax                                       

      Colonnade, Double Room, $139.00 + tax                                             

      Cross Keys, Single Room, $85.00 + tax                                   

      Cross Keys, Double Room, $85.00 + tax

My 2nd choice for hotel accomodations is (check one) :

      Colonnade, Single Room, $139.00 + tax                                       

      Colonnade, Double Room, $139.00 + tax                                             

      Cross Keys, Single Room, $85.00 + tax                                   

      Cross Keys, Double Room, $85.00 + tax

All state and local taxes are to be paid by the participant.


Accompanying person(s)/room to be shared with . 

NOTE THAT COORDINATING A PERSON TO SHARE YOUR ROOM IS YOUR 
RESPONSIBILITY, NOT THAT OF STSCI.  

Hotel deposit (for one night) to be paid by check or credit card?   
Arrival (check-in) date 
Departure (check-out) date

For security reasons, please telephone, mail or FAX the credit card information for the hotel deposit (= one night's stay) to Cheryl Schmidt at 410 338 4404 (office) or 410 338 5090 (FAX).

Send Form

Click the appropriate button below to either send the completed form to Cheryl Schmidt or to clear your answers. Note that if a hotel is not selected, we will assume that you do not require a hotel and a reservations will NOT BE MADE.

Thank you for your HST May Symposium Registration. If you have any questions, please contact Cheryl Schmidt at schmidt@stsci.edu , Space Telescope Science Institute, 3700 San Martin Drive, Baltimore, MD 21218.

Last revised: Nov 25, 1996 by Megan Donahue