STAR Analysis Meeting June 15-18, 2010

STAR Analysis Meeting * June 14 - 17, 2010
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STAR Analysis Meeting June 15-18, 2010

UCLA Department of Physics and Astronomy

REGISTRATION FORM

REGISTRATION DEADLINE: April 30, 2010

REGISTRATION FEE: $120.00
payment can be made by check/credit card at the time of checking in for the workshop or by mail to UCLA Department of Physics and Astronomy,P.O. Box 951547, Los Angeles, CA 90095-1547 ATTENTION: Vidya Sundaram

First Name			Last Name
Email Address			Phone Number
Address			City
Postal/Zip Code			Country
Date of Arrival			Date of Departure
Please Note: Rooms have been reserved at the UCLA Tiverton House and UCLA Guest House. Please go to Hotels page and read the accommodation information for these 2 places.
Please book me at the following:
		UCLA Tiverton House
		UCLA Guest House
		I will schedule my own accommodation
Please Note: Cancellation date for Tiverton and Guest House is May 12, 2010 after that there will be a cancellation fee.
*Banquet at Faculty Center California Room on Thursday, 17 June, 2010 6:30 PM*
Attending Banquet:	I will attend		I will not attend
# of Extra Tickets:			Additional tickets are $45.00/person payable at registration
Menu Preference:			If you have ordered extra tickets for banquet you can select more than one menu item by holding down Ctl (windows) or Cmd (Mac)
If you have questions please contact Vidya Sundaram at vidya@physics.ucla.edu.