ADASS '94 CONFERENCE * September 25-28, 1994 * Baltimore, Maryland, USA REGISTRATION FORM EARLY REGISTRATION AND ABSTRACT DEADLINE: July 15, 1994 __________________________________________________________________________ Return to: ADASS '94 Conference ferberts associates P.O. Box 1630 Oracle, AZ 85623 USA or by Fax to: Jan Aalberts, ferberts associates, 602-896-2639 or by e-mail to: adass-reg@stsci.edu E-MAIL AND FAX REGISTRATION MUST BE PAID BY CREDIT CARD. __________________________________________________________________________ HOTEL: Make arrangements directly with the Omni Inner Harbor Hotel 800-THE-OMNI (800-843-6664) or 410-752-1100 ------------------- ADASS '94 CONFERENCE REGISTRATION ------------------- IDENTIFICATION (As it will appear on your name tag:) First Name:________________________ Last Name:__________________________ Affiliation:______________________________________________________________ Address:______________________________________________________________ City:______________________ State/Province:________________________ Postal Code:______________________ Country:________________________ E-mail:______________________ Telephone - Business:______________ Home:_____________ Fax:_____________ FEES (All in US$) Conference registration includes reception, sessions, materials, refreshment breaks, and proceedings. __Early Registration, received before July 15, 1994 .................. $95 __Late Registration, received after July 15, 1994 ................... $135 __Abstract fee (Deadline: July 15, 1994) __Papers x $40 per paper = $____ __Demonstration ..................................................... $400 __Special A/V equipment .................. __Items x $250 per item = $____ Describe separately __Banquet, Museum of Industry .......... __People x $35 per person = $____ __NASA/GSFC Tour....................... __People x $10 per person = $____ Special Session, Electronic Preprint Distribution __With ADASS registration ............................................ $25 __Special session only, no ADASS registration ........................ $50 TOTAL ........................................................... $_____ CANCELLATIONS RECEIVED IN WRITING PRIOR TO SEPTEMBER 20, 1994 WILL BE ENTITLED TO A FULL REFUND MINUS A $20 HANDLING CHARGE PAYMENT __ Enclosed Check, in US$ payable to "ferberts associates, ADASS '94" Credit Card: __MasterCard __Visa Name: ___________________________ As it appears on card Card Number: ___________________________ Expiration Date: _______________ Signature: ___________________________