USNCCM7 Registration Form
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On-Line Registration Now Available (Click here)


Registration Form (PDF)

(PRINT THIS FORM AND FAX TO: 505-844-8081 or 844-8251)

Name: ________________________________________________________________________
Department:_________________________________________________________
Affiliation:___________________________________________________________
Address:____________________________________________________________
State/Providence____________________________________Zip:_______________
Email:__________________________________________
Phone_________________________________________    Fax:________________

STUDENT INFORMATION:

Students must be enrolled in a college or university at the time of the conference. Please provide student ID number and affiliation below. You must also fax a copy of your student ID to the conference organizers to receive discounted student rates. FAX: 505-844-8081

Student ID#:______________________ College/University:____________________

REGISTRATION FEES:

Student
Regular
Amount:
Early Congress Registration (Before June 26, 2003) ___ $100 ___ $375 __________
Regular Congress Registration (After June 26, 2003) ___ $130 ___ $475 __________
X
Dinner Banquet & Awards, Tuesday, July 29, 6 PM
  (Included in registratin Fee)    ATTENDING: ___ Yes ___ No  
Guest for Dinner: Name____________________________ ___ # Guests ___ $50 ea __________
Dietary Restrictions:_______________________________
X
Pre-Congress Short Courses, Sunday, July 27
  Verfification & Validation Short Course, (1-6pm) ___ $200 __________
   Mesh Generation Short Course, (8am - Noon) ___ $175 __________
   Discontinuous Galerkin Methods Short Course (1-6pm)
___$200
Post-Congress Short Courses, Thursday, July 31
  Verification Code Short Course, (8:30am - 12:30pm) ___ $175 __________
  Multiscale Multiphysics Short Course (9am - 2pm) ___ $150 __________
X
Invited Guest Tour, Tuesday, July 29 (12-5 pm)
  (Not included in registration fee) ___ # Guests ___ $40 ea __________
Guest(s) Name____________________________________
                (Including yourself and others who may attend)
TOTAL:
__________

PAYMENT BY CREDIT CARD:

___VISA ___Master Card ___American Express (Check method of payment)

Credit Card #:________________________________ Expiration Date: ________________________
                    (required)                                                                         (required)

Name on Card: ______________________________ Signature______________________________
                      (print name)                                                                                  (required)

FAX REGISTRATION FORM TO: 505-844-8081 or 844-8251

 

PAYMENT BY CHECK OR MONEY ORDER
(in U.S. Funds, no cash accepted)

Payable to:        Sandia National Laboratories, USNCCM

Mail payment with registration form to:

Sandia National Laboratories
Attn: Tammy Eldred, Conference Coordinator
PO Box 5800, MS0833
Albuquerque, NM 87185-0833

 

On-Line Registration Form will be provided at this web site in May 2003


Registration and Financial Aid

- Registration Information
- Registration Form
- Congress Agenda
- Short Course Information
- Financial Aid for Students and Young Investigators
- Financial Aid Application Form
- Student Benchmark Competition

 

Last Revised: 5/20/03 3:53 PM       
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