Bash Symposium 2005: New Horizons in Astronomy

Registration (Must be received by September 12)

All fields are required. Please enter 'n/a' if not applicable.

Date:

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Title:

(Poster title and abstract must be received by September 12.)

Poster title, if contributing:

Poster abstract, if applicable:

Registration type:

Prof. title:

Institution:

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(cont.)

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Country:

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Guest count:

Guest names:

Event attendance:

*Reception - Oct. 16*	(number in your party)
*Lunch - Oct. 17*
*Conference dinner - Oct. 17*	(banquet - $65/person*)
*Lunch - Oct. 18*
	*We will contact you with a banquet total, and to arrange for payment.

How many in your party require vegetarian meals?

AV needs, if applicable:

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