ADASS '92 Conference Registration Form: Boston, MA November 2-4, 1992 Name:_________________________________________________________________________ Address:______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Phone:__________________ FAX:__________________ E-mail:_______________________ Affiliation for Name Tag:_____________________________________________________ Registration Fee Received by July 15 $ 95 per person $_________ Received after July 15 $125 per person $_________ Spouse/Guest $ 20 per person $_________ TOTAL Registration Fee $_________ Special Events The Freedom Trail, 11/1, 9am Free #of reservation(s) _________ Luncheon, 11/2, 12:30pm $ 4 per person $_________ Museum of Science & Reception 11/3, 7pm $ 38 per person $_________ TOTAL FEES $_________ Cancellations received in writing prior to October 9 will be entitled to a full refund minus a $10 handling charge. Refunds will take approximately 6-8 weeks. _____ Check here to receive detailed information and instructions regarding computer demos and exhibits Type of Payment (please check one): Check_______ VISA:_______ MasterCard:______ Credit Card #:_______________________________ Expiration date:_______________ Signature**:_________________________________________________________________ Please make payment payable to SMITHSONIAN INSTITUTION and send to: Ms. Patricia Buckley, SAO, 60 Garden Street, MailStop 83, Cambridge, MA 02138 USA ** I authorize NOAO/AURA to charge my account the amount of my Total Fees and to transfer said funds to the Smithsonian Institution.