Registration for NM Symposium 2003

New Mexico Symposium 2003
Registration Form

 

NAME:
AFFILIATION:

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