REGISTRATION FORM - DEADLINE FOR REGISTRATION: February 14, 2001 | |
Your Name: | |
Institutional Affiliation: | |
Mailing Address:
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Electronic Mail Address: Telephone Number: Fax Number: | |
Name(s) of Guests, if any: | |
If you are staying at the conference motel, a deposit of $65.25 US for the first night is required along with your registration. The balance of $217.75 may be paid with your registration, or upon arrival. Name of roommate, if sharing a room: _______________________________________ | |
Meal preferences: Vegetarian: __________ Special dietary requests: | |
Do you need transportation on Wednesday to the conference motel from the San Jose Airport?: _________ Arrival time: _______________________________________ Monterey Airport?: _________ Arrival time: ______________________________________ |
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Do you need transportation on Sunday from the conference motel to the San Jose Airport?: _________ Departure time: ______________________________________ Monterey Airport?: _________ Departure time: ______________________________________ |
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Registration Fee (see above): Guest Registrations: Lodging Deposit: Balance for Lodging:
TOTAL Enclosed:
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_____________ (in US currency) _____________ (in US currency) _____________ ($65.25 in US currency) _____________ ($217.75 in US currency) _____________ (in US currency)
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Please complete this form and return it along with payment by 14 February, 2001 to:
Joan ParkerChecks should be made payable to Moss Landing Marine Laboratories and mailed to Joan Parker at the above address. Official receipts will be provided at the meeting.
MLML/MBARI Librarian Moss Landing Marine Laboratories
8272 Moss Landing Rd.
Moss Landing, CA 95039
USA
Last Updated 09 January, 2001 SW