VLBV98
REGISTRATION FORM
October 8-9, 1998

Your Name:
Address (Institution):
(Department/Building):
(Street):
(City, State, Zip Code):
Office Phone #:
Fax #:
E-mail:
Will you need parking at the meeting? Yes
No
Please indicate your status: Panelist
Poster Presenter
Participant only
Non-student
Student

Your registration will be confirmed when we receive your payment. The fee is $250 ($150 for students). We are sorry, but the University of Illinois Accounting Department cannot accept credit card payments. Checks should be made out to the "University of Illinois."

Return form and check to:

Julie Weaver
Beckman Institute for Advanced Science and Technology
University of Illinois
405 North Mathews
Urbana, IL 61801
Tel: 217-244-4906; Fax: 217-244-8371; Email: jweaver@uiuc.edu