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Bash '05
Registration
All fields are required. Please enter 'n/a' if not applicable.
Date:
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First name:
Middle initial:
Last name:
Title:
Ms.
Mr.
Mrs.
Dr.
(Poster title and abstract may be submitted separately to
monicak@astro.as.utexas.edu
and must be received by September 12.)
Poster title, if contributing:
Poster abstract, if applicable:
n/a
Registration type:
Regular Participant
Member-Local Organizing Committee
Member-Scientific Organizing Committee
Invited Speaker
Texas Graduate Student
Texas Faculty or Staff
Board of Visitors
Prof. title:
Grad Student
Postdoc
Faculty
Staff
Other (please explain - 'comments' below)
Institution:
Street Address:
(cont.)
(cont.)
City:
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Zip/postal code:
Country:
Phone:
(include area code)
Fax:
(include area code)
Email:
Guest count:
Guest names:
n/a
Event attendance:
Reception - Oct. 14
(number in your party)
Lunch - Oct. 15
Conference dinner - Oct. 15
(banquet - $65/person*)
Lunch - Oct. 16
*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:
n/a
Comments:
n/a
7 August 2007
Astronomy Program ·
The University of Texas at Austin
· Austin, Texas 78712
prospective student inquiries:
studentinfo@astro.as.utexas.edu
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