POSTAL ADDRESS:
E-MAIL ADDRESS: TELEPHONE:
Please indicate your professional level: Undergraduate Graduate Student Postdoctoral Faculty Scientific or Engineering staff Other
Check one: I will attend. I will not attend.
I would like to give a 10 minute talk Yes No I would like to present a poster Yes No
Please provide a title for any presentation below, along with all authors and affiliations. If too many wish to give an oral presentation, and you have requested to give a talk, would you be willing to switch to a poster? Yes No
Between the symposium and the Jansky lecture, there will be an NRAO sponsored dinner, to which all registered participants are invited. Please indicate if you plan to attend the dinner: Yes No
Would you like to receive an e-mail confirmation of this submission? Yes No