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First Name |
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Middle Initial |
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Last (Family) Name |
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Institution |
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Mailing Address |
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Address (cont.) |
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City |
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State/Province |
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Zip/Postal Code |
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Country |
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Daytime Phone |
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E-mail |
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Name, as it should appear on your badge: |
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| Name of your Institution, as it should appear
on your badge: |
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Field of Research: |
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Research Group or Collaboration? |
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Status (check one): |
Graduate Student
Post-Doctoral Researcher
Faculty Member
Staff Physicist
Other
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| Fees |
Regular Participant |
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SSI
2001 Registration Fee |
$300 |
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SSI
2001 Dinner Package * |
$ 50 |
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Student Participant |
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SSI
2001 Student Registration Fee |
$180 |
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SSI
2001 Student Dinner Package* |
$ 25 |
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*The dinners are held on August 14, 16, 21 and
23. We invite and
encourage all participants to join in the 29-year tradition of Summer Institute Dinners. They provide an opportunity for
discussions with lecturers and fellow attendees in a lively, informal setting.
Dinner tickets include beverages, soft drinks, beer and wine.
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Accommodations: Limited on-campus housing is available for
participants.
Will you require on-campus housing?
Yes
No
If yes, housing registration is handled separately.
Please go to the housing information page and
follow the instructions on the forms.
If you are staying in a hotel or private residence, please
let us know where:
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You may pay in
advance for your registration and meals. After submitting your
registration, you will be directed to payment options, including an option to
pay online using a credit
card. Note: SLAC Participants Only:
You should use the online Registration
Payment Form for Training, Workshops, and Conferences to pay for the
Institute. Your registration fee is not considered a travel
expense – it is accounted as regular M&S expense. |
