OAPT'97 conference registration form

This on-line registration form was created to make it easy for you to register without having to lick a postal stamp. However, if your Web browser does not support forms (i.e., if this page doesn't work for you), you can still send the same information as a simple e-mail message, to:

oapt97@physics.brocku.ca At the very least, you must supply your name and e-mail in the form below, or your form will get rejected by the server.

Please, tell us about yourself

Your full name:	(required)
Your e-mail address:	(required)
Name of school or institution:
Your mailing address: Postal code
Telephone, day: evening: FAX:
Web page:
May we print the above information on the list of participants?

Workshops

Do you plan to attend a workshop on Thursday evening?

If yes, please indicate your preference:
1st choice:
2nd choice:
3rd choice:
We will make every effort to accommodate your request

Fees

Conference registration fee:
Digital workshop fee, if requested:
Banquet & after-dinner speaker fee: Non-traditional careers in Physics Spouses and friends welcome.
Tour of Adam Beck Generating Station
On-campus accommodations	$41 X room(s) X days, starting from
OAPT membership renewal ($8/yr) :	$

Please, make your cheque payable to: Brock University, and remember to mail it in to:

OAPT'97
Department of Physics
Brock University
500 Glenridge Avenue
St.Catharines, Ontario L2S 3A1

Et cetera

Please let us know if you are a vegetarian, or have some other dietary restrictions. Also, feel free to add other comments or concerns below.

This page is: http://www.physics.brocku.ca/oapt97/registration.html
Last reviewed by: webmaster@www.physics.brocku.ca on 16-Jun-97 at 14:22
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