New Mexico Network for
Women in Science and Engineering
PO Box 1360, Los Alamos, New Mexico, 87544 USA.
http://nmnwse.org/
2008 Annual Meeting & Technical Symposium
24-26 Oct 2008, Truth or Consequences, NM
Online Registration
To complete the registration process,
send a hardcopy of the registration form with your check, payable to NMNWSE, to:
NMNWSE / AM2008
PO Box 1360
Los Alamos, New Mexico, 87544 USA. Questions? For more details, late fee and cancellation policy, etc,
see the registration notes at http://nmnwse.org/AM/2008/register/notes.php
If the registration notes don't provide the information you need, contact the Registrar or appropriate Meeting Chair.
MEETING ATTENDEE INFORMATION: *First Name:
*Last Name:
*Daytime Phone:
*Evening Phone:
*Email: *Full Mailing address (plus any alternate contact information you wish to provide, eg, cell phone):
*Would you be willing to run for the 2009 NMNWSE Board? yes
no
maybe
Will you attend the Sunday AM NMNWSE Board Meeting? (1st mtg of 2009 board)
yes
no
maybe
*Are you giving a paper in the technical session? (see notes)
yes
no
maybe
If yes or maybe, please indicate preferred format and provide draft title and abstract: (or indicate if already sent to technical chair)
prefer Poster
prefer Talk
no preference
Includes Friday Evening Reception, Saturday Wine and Cheese Poster Session/Reception, Conference Dinner, and accompanying person information packet.
$55
Adult (12+), Just Posters and Dinner
Includes Saturday Wine and Cheese Poster Session/Reception and Conference Dinner (all Saturday events after 5:00 PM).
$30
Child (4-11), Full meeting
Includes Friday Evening Reception, Saturday Wine and Cheese Poster Session/Reception, and Conference Dinner at "just dinner" price.
free
Infant (0-3), Full meeting
All events. (We only need the number so we know how many seats to provide at dinner, and to assess childcare needs if you check that box below.)
Name(s) of accompanying persons, if any (used for nametags at reception and dinner).
*ATTENDEE NMNWSE 2009 MEMBERSHIP
$40, regular
$10, student/teacher/retired/non-employed
$25, new regular member Special meeting rate for new members! $5, new student/teacher/retired/non-employed Special meeting rate for new members! $0, not paying dues at this time
+$ donation (supports meeting scholarships and outreach activities)
+$10 late registration fee (check box and add to total only if after Oct 3, 2008)
check here if vegetarian/dietary restrictions and specify details in comment box at end.
*REGISTRATION TOTAL
(add above - apologies I don't know how to do this automatically)
If applying for a scholarship, please contact the meeting registrar for scholarship status prior to sending
your check.
ACCOMMODATIONS:
On own. Please see the conference hotel page for hotel contact info and further details.
Check here if you would like to be contacted about sharing a room. Check here if you would like to be contacted about carpooling to the meeting.
PREFERENCES:
Please use the comment box below or fill in the interest survey if you would like to provide further details on your preferences.
interested in childcare interested in accompanying persons program
Dietary Restrictions / Special Accommodations Needed / Other Comments:
Please enter any additional information you wish us to consider when planning this event (e.g., wheelchair access needed).