================================================================================ G A S A N D G A L A X Y E V O L U T I O N A Conference in Honor of the 20th Anniversary of the VLA Socorro, New Mexico, USA, 21-24 May 2000 R E G I S T R A T I O N F O R M (version 1.3) THE CONFERENCE IS NOW ENTIRELY FULL. Any further registrations will be added to a waiting list; we will contact those on the list if and as those already registered drop out. See the list of registered participants on the Web to discover whether you are already registered. Spaces have also been reserved for invited speakers and SOC/LOC members. Please either (1) fill in the Web form, accessible from http://www.nrao.edu/vla2000 or (2) fill out the following and (a) email to vla2000@nrao.edu or (b) FAX to Ms. Terry Romero, at +1-505-835-7027 (voice: +1-505-835-7000) or (c) send by paper mail to Gas and Galaxy Evolution Conference c/o Ms. Terry Romero NRAO P.O. Box O 1003 Lopezville Road Socorro, NM 87801 USA IDENTIFICATION Last name: ______________________________________________ First name: ______________________________________________ Name and affiliation for meeting badge: _____________________________________________________ _____________________________________________________ Professional level: ___ Undergraduate ___ Graduate student ___ Postdoctoral fellow ___ Faculty ___ Other We wish particularly to encourage the attendance of students and recent PhDs. Connection with this conference: ___ on the Scientific Organizing Committee ___ on the Local Organizing Committee ___ invited speaker GENERAL INFORMATION Fill in if you have not submitted a pre-registration form, or if you wish to update the general information therein. Affiliation: ______________________________________________ Telephone: ______________________________________________ FAX: ______________________________________________ E-mail address: ____________________________________________ Paper mail address: _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ LOCAL INFORMATION Fill this in if you are a local staff mamber, i.e. work at NRAO/Socorro or NMT. Please check one: ___ NMT staff member ___ NMT graduate student ___ NRAO/Socorro staff member ___ NRAO/Socorro graduate student ___ NRAO/Socorro summer student Please check one: ___ I will attend most or all of the conference ___ I will attend only a few talks ("grazer") REGISTRATION FEE WE WILL NOT PROCESS PAYMENTS FOR THOSE ON THE WAITING LIST until and unless we contact you to say a space has become available (at which point you will have the option either to accept or decline that space). You may therefore want to skip this part of the registration form for now. The registration fee is US$ 195 if received on or before 1 March 2000 ("early fee") US$ 225 if received after 1 March 2000 ("late fee") US$ 275 if received at the meeting ("walk-up fee") US$ 175 for local (Socorro) NRAO/NMT staff registering before 1 March 2000 free for local (Socorro) NRAO/NMT students free for local (Socorro) NRAO/NMT "grazers" *waived* for members of the SOC, LOC, and invited speakers Please select a payment option: ___ Credit card Type: ___ VISA ___ Mastercard Card number: _______________________________ Expiration date: ___________________________ Note that we can only accept VISA or Mastercard. Note also that we cannot guarantee that credit information submitted by e-mail or through the Web will not be intercepted. If you are worried about this, please send this information either by FAX or by regular mail. ___ Personal check payable to NRAO in US$, drawn on a US bank ___ Travelers' check in US$, drawn on a US bank ___ US$ cash (only if paid at the meeting) ___ NRAO internal account (NRAO staff only) NRAO account number: _______________________ TRAVEL PLANS If you do not know your travel plans at this time then skip this section, but please pass them on to us once they are known, preferably via e-mail to vla2000@nrao.edu. Arrival Departure Flight date Flight time Flight number I will use NRAO/NMT bus transport: ___ ___ I will use a commercial shuttle: ___ ___ ___ I will use a rental car. ___ I will use my private vehicle. MEALS If you have special dietary requirements, especially for the conference dinner, please specify them: CONFERENCE DINNER ___ I will bring one or more guests to the conference dinner. Please add US $12 to my registration fee for each guest. Number of guests: ____ ACCOMMODATIONS You are responsible for making your own motel reservations. We will if you wish post requests for room-mates on the meeting Web site, providing your name, sex, and e-mail address. ___ I would like a room-mate. I am ___ male ___ female ***PLEASE*** let us know as soon as you have found a room-mate, so we can remove your name from this list. VLA 20th ANNIVERSARY PARTY (afternoon of 24 May 2000) ___ I am interested in attending the VLA 20th Anniversary party. ___ I will bring one or more guests. Number of guests: ____ ___ I will not attend the VLA 20th Anniversary party. MISCELLANEOUS ___ I am interested in daytime activities for my children (please give the number and age(s) below). ___ I am interested in day care for my children. How many: _____________________________ Age(s): _____________________________ ___ I am interested in a short hike some evening during the conference (tentatively offered, depending on interest) ___ I am interested in a hike organized after the meeting, probably on 25 May 2000 (tentatively offered, depending on interest) PRESENTATIONS If you wish to present a paper, you should also submit an abstract form (the deadline is 14 APRIL 2000). If you have already sent in a title (e.g. when you pre-registered) you need not fill out this section, although you may if you wish. ___ I would like to present a paper. ___ I prefer an oral presentation. ___ I prefer a poster paper. Title of presentation: _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ FEEDBACK AND OTHER CONCERNS If you have comments, questions, or suggestions, please provide them: ================================================================================