Registration
dot
dot dot
dot  
dot Registration Home
Online Form
Payment Information
Registrants

Required Fields*

Online Registration Form

First Name*
Middle Initial
Last Name*
Institution*
Mailing Address*
City*
State/Province*
Zip Code*
Country*
Daytime Telephone*
Email*
Badge Name

Please select one option*

On-campus 3-night stay (June 26-29) Registration Fee $450
($500 after 5/15)
On-campus 4-night stay (June 26-30) Registration Fee $540
($590 after 5/15)
On-campus 5-night stay (June 26-July 1) Registration Fee $680
($730 after 5/15)
Off-Campus Registration Fee $225
($275 after 5/15)

Will you be attending the University Linear Collider Consortium Meeting (NSF) or Linear Collider R&D Program (DOE) (scheduled for Sunday, June 30)? If yes, and you picked any option other than the 5-night on-campus stay, add $50 to your registration fee.

YesNo  

Are you interested in participating in the outreach program?

YesNo

Will you be parking on campus? If so, and you want a parking pass mailed to you (at the address you provided above), indicate below and add $20.00 to your registration fee.

Yes, I will be parking on campus and need a parking pass mailed to me.
No, I do not need a parking pass.

Banquet Information

I plan to attend the banquet on June 27 Yes No

  • If yes, I am requesting a vegetarian dinner for the banquetYes No
I will bring guests to the banquet (at $40 each). Of these guests,  are requesting a vegetarian dinner.

BBQ Information

I plan to attend the BBQ scheduled for June 28 Yes No

  • If yes, I am requesting a vegetarian dinner at the BBQ Yes No
I will bring guests to the BBQ (at $20 each). Of these guests, are requesting a vegetarian dinner.
dot
Bruce Schumm, SCIPP/UCSC, Natural Sciences II Room 309, 1156 High Street,
Santa Cruz, CA   95064 or schumm@scipp.ucsc.edu
 
Provided by: SLAC
Registration Website Problems: McDunn
Last Update: 12-Jun-2002 10:42:54 AM