DFD 2002 Online Registration Form

Gallery of Fluid Motion
Information
Examples

Online Registration Form
55th Annual Meeting of the Division of Fluid Dynamics
Date: November 24-26, 2002
Location: Dallas, TX

If you have problems registering or have already registered and need to make changes, please contact Meetings and More or call 301-869-0968.

Fields marked with an * are required.

Part 1:

First Name *		Middle Initial
Last Name *
Company / Institution		(As you wish it to appear on your badge)
Mailing Address *

City *
State *
Zip Code *
Country
Phone *
Fax
E-mail *

Part 2:

APS Membership Number:

(Required for member rate;
can be found on APS mailing label)

Part 3: Check those that apply

		I am planning to present a paper at the meeting.
		I am planning to bring my own LCD projector and laptop.
		I have a disability and require special accommodations in order to fully participate in this activity.
Please Specify:
		If an LCD projector were available, I would use it for my presentation.

		I am having a guest/spouse accompany me to the meeting
		If yes, would s/he be interested in planned activities/tours
What type:		Museums City Tour Shopping

Part 4: Registration Fees

	Early Registration On or before Oct. 25	Regular Registration After Oct. 25
Member	$270	$330
Nonmember	$385	$435
Graduate student	$120	$150
Retired	$120	$150
Undergraduate student	$10 / day	$10 / day
Guest reception ticket(s)	$50	$50

Part 5: Method of Payment

Check (make check payable to APS/DFD)
Charge - choose one: The merchant name that will appear on your credit card will be Meetings and More.	Visa	MasterCard
Number: Exp. Date:
Cardholder Name:

Part 6: Total

Registration Fee *	$
Extra Reception tickets # x $50 each	$
TOTAL AMOUNT *	$

Cancellations made prior to November 8, 2002 will be subject to a $50 cancellation fee. After this date, your registration fee is not refundable.

Submit Registration Form:
(Please do not double click to avoid duplicate charges)

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