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2004 Workshop
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	Registration

2004 SOFIA UPPER DECK SCIENCE OPPORTUNITIES WORKSHOP
NASA Ames Research Center, CA
June 22-23, 2004

REGISTRATION FORM

Name

Full Name (as on nametag):
Full name (as in passport):
Date of Birth:
Place of Birth:
Citizenship:
*) Passport #:
*) Date of issue:
*) Place of issue:
*) Expiration date:

*) Note: Foreign nationals only.

Address

Institution/
Affiliation:

Street address:

City:

State or Prov: Postal code:

Country:

Phone:

Fax:

E-mail address:

(your e-mail address will be added to the posted list of participants on this web site)

Presentations:

Presentation Title:

Presentation Abstract: (Brief, no more than 10 lines - will be posted on this website)
Submit your extended abstract within one week to S.U.R.F. mailbox.
A template MSWord file (and example paper) is provided here.

Preffered Format Oral Poster

Preffered length of Talk / size of Poster:

Facilities needed:

Transparancy projector

35mm slide projector

Computer image projector

VHS (PAL)

VHS (NTSC)

HDTV

Please indicate the session you would like to contribute to:
(Final program will be posted at these pages after May 15)

Special Events:

SOFIA facility tour

banquet - one person $25

banquet - more than a single person ($25/person)

Logistics:

Place of Arrival: San Jose Airport San Francisco airport Other

Date and Time of Arrival:
Carrier (flight no.)

Please indicate the Hotel that you would like to stay in:
(Please book your own hotel in order to guarantee this with your own credit card.)

Costs**:

Registration fee:	$ 100.00
Banquet	$ 25.00

**) Please pay at the meeting during registration. Make checks payable to "SETI Institute"

I plan to attend:

Tuesday June 22

Wednesday June 23

I can not be at the workshop, but will participate with online extended abstract (2-5 pages):

Paper only