Registration Form

Planets Beyond the Solar System
and
The Next Generation of Space Missions

October 16-18, 1996

To register for this meeting, please complete the following information, click on the "Submit" button, and then mail a check to STScI at the address listed below.

Registrant Information

Name:

Affiliation:

Address:

Phone:

Fax:

E-mail:

Are You Submitting a Poster Paper?

Yes, I plan to present a poster paper

No, I do not plan to present a poster paper

Fees

If received before September 15, 1996: $100
After September 15, 1996: $120

Make checks payable to "Space Telescope Science Institute" (payment must be made in U.S. dollars). Credit cards are not accepted for registration fees.

Mail payment to:
Cheryl Schmidt
Space Telescope Science Institute
3700 San Martin Drive
Baltimore, Maryland 21218

Hotel Accommodations

Indicate a first and second choice---rooms are limited at the Colonnade.

The Colonnade is within walking distance, a shuttle will be available to the Clarion.

Hotel	Room Size	Rate
Colonnade	Single	$89.00 + tax
Colonnade	Double	$89.00 + tax
Clarion	Single	$85.00 + tax
Clarion	Double	$85.00 + tax

Check-in Date:

Check-out Date:

Room to be shared with (person's name):

Coordinating a person to share a room with is your responsibility, this is not done by STScI.

Deposit required is equal to one night's charge and must be made in U.S. dollars payable to the appropriate hotel, not STScI. Do not send one check for both the registration fee and the hotel deposit.

Deposit amount: $

Note that after September 15, 1996, STScI must release unused rooms back to the hotel. After this date availability cannot be guaranteed.