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2005 REENTRY SIGNATURES WORKSHOP
SETI Institute, California
December 10, 2005

REGISTRATION FORM


 

Name:

Full Name (as on nametag):
Full name (as in passport):

Affiliation:

Zipcode:
Institution/
Affiliation:
Street address:
City:
State or Prov.:
   
Country:
Phone:
Fax:
E-mail address:
  (your e-mail address will be added to the posted list of participants on this web site)


Presentation:

Title:


Abstract (Brief, no more than 10 lines - will be posted on this website):

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 December 01)

 


Special Events:

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"