Contact Information
Title:         No Title  Prof.  Dr.  Ms.  Mr.
First Name:    
M. Initial(s): 
Last Name:     
Organization:  
Address:       
City:          
State/Province: ZIP Code:
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Housing Information
I will be staying at the:  hotel.

I will arrive on Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
   and depart on Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

I have made other housing arrangements:  Yes    No

I require vegetarian meals:   Yes    No

I have the following special needs:

Registration Fees
Please make checks payable (in US $) to:     University of Wisconsin - Madison
We do not accept credit cards.

If you register online via the web, you may pay on arrival. If you need to cancel your registration, please notify us in writing by October 1st in order to receive refund (No refund after the cancellation deadline!).

Note: For UW employees, you may submit an internal requisition issued to the Synchrotron Radiation Center through your UW department, but it must state "confirming requisition" in the explanation and include the fund 128 A 34 9200 4 3350.