Harry Petschek Symposium on Magnetic Reconnection
March 21-23, 2006
Registration and Payment Form
Full Name (First/Family) :
Mailing Address :
Email : Tel : Fax :
Name Preferred for the Name Tag :
Title of Poster Presentation (optional):
Please pay the registration fee by a certified or personal check. Make the check payable to the Harry Petschek Symposium. Mail this registration form and payment to the Harry Petschek Symposium, IREAP, Bldg. #223, University of Maryland, College Park, MD 20742, USA.
Registration fee: Before February 3, 2006: USD $300, after that date: USD $350.
Registration fee includes coffee breaks, the Wednesday conference dinner, breakfast and lunch for three days and parking.