Pre-Registration

Pre-Registration for:  COSMIC EXPLOSIONS

Name (as preferred on nametag): 

Organizational Affiliation: 

Mailing Address: 

E-mail Address: 

Are you expecting to present a poster paper? Yes No
(If yes, include abstract and answer the following question.)

 Abstract (please include title and authors):

 

For which session(s) would you prefer to be considered? 

To submit your registration form, press this button: .
To reset this form, press this button: .

NOTE: Registration forms can be submitted electronically but poster space is not guaranteed unless the pre-registration fee is received by SEPTEMBER 15, 1999. 
Your check for the $250 pre-registration fee should be payable to:
 
University of Maryland

If you plan to attend the Conference, please send this form, with payment, to:
 

October Conference
Astronomy Department
University of Maryland
College Park, MD 20742