New Mexico Network for
Women in Science and Engineering

PO Box 51926, Albuquerque, New Mexico, 87181 USA 
http://nmnwse.org/
2010 Annual Meeting & Technical Symposium
8-10 Oct 2010, Valles Caldera National Preserve, NM
Online Registration
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To complete the registration process, send a hardcopy of the registration form with your check, payable to NMNWSE, to:
          NMNWSE / AM2010
          PO Box 1360
          Los Alamos, New Mexico, 87544 USA.

Questions? For more details, late fee and cancellation policy, scholarship policy, etc, see the registration notes at http://nmnwse.org/AM/2010/register/notes.php
If the registration notes don't provide the information you need, contact the Registrar or appropriate Meeting Chair.

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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 2011 NMNWSE Board?
        yes         no         maybe
Will you attend the Sunday morning NMNWSE Board Meeting? (1st mtg of 2011 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
     


CONFERENCE FEES:

*ATTENDEE
check
one
Fee Category Includes (see schedule)
$120 Full meeting Includes Friday Evening Reception, Saturday Meeting & Talks, Wine and Cheese Poster Session/Reception, and Conference Dinner, as well as Breakfast on Saturday and Sunday and Lunch on Saturday.
$100 All Saturday Includes Saturday Morning Business Meeting, Lunch, Saturday Afternoon Talks, Wine and Cheese Poster Session/Reception, and Conference Dinner.
$70 Saturday PM Includes Saturday Afternoon Talks, Wine and Cheese Poster Session/Reception, and Conference Dinner.
ACCOMPANYING PERSONS (accompanying paid attendee and not attending business meeting or technical talks, see notes)
no.
people
x Fee
/person
Category Includes (see schedule)
$90 Adult (12+), Full meeting Includes Friday Evening Reception, Saturday Meals (Breakfast, Snacks, Lunch, Afternoon Wine and Cheese Poster Session/Reception, Conference Dinner), and Sunday Breakfast.
$75 Adult (12+), All Saturday Includes Saturday Snacks, Lunch, Wine and Cheese Poster Session/Reception, and Conference Dinner.
$50 Adult (12+), Saturday PM Includes Saturday Wine and Cheese Poster Session/Reception and Conference Dinner.
$25 Child (4-11), Full meeting Includes all meals, snacks, and receptions at "just Conference Dinner" price.
free Infant (0-3), Full meeting All events. (We only need the number so we can plan food as well as to assess childcare needs if you check that box below.)
Name(s) of accompanying persons, if any (used for nametags at reception and dinner).
ACCOMODATIONS (see conference hotel)
no.
people
x Fee
/person
Category Includes (subject to availability - you will be contacted in the order register to select from remaining spaces, see notes)
$100 Lodge bed space(s) in Lodge, 2 nights (2 bed spaces/room)
FULL - no spaces left
$160 +$20/extra person Bunkhouse Single bed space(s) in small room in Bunkhouse
the small room is gone, but we may be able to offer one of the big rooms as a single or double at same rate as small room as we currently have an empty one.
$60 Bunkhouse Shared bed space(s) in large room in Bunkhouse, 2 nights (6 bed spaces/room)
6-10 spaces AVAILABLE as of 9/15
$0 (N/A) Making own accomodations While you do not need to indicate how many people are coming with you if you are making reservations on your own, doing so will help us plan for future meetings.
*ATTENDEE NMNWSE 2011 MEMBERSHIP
    $40, regular
    $10, student/teacher/retired/non-employed
    $0, not paying dues at this time
+$ donation (supports meeting scholarships and outreach activities)
+$10 late registration fee (check box and add to total only if after Sep 10, 2010)
check here if vegetarian/dietary restrictions and specify details in comment box at end.
*REGISTRATION TOTAL
    =$
(add above - apologies I don't know how to do this automatically)
*APPROXIMATE ARRIVAL TIME (re opening gate - see notes and conference hotel information)
    Friday, ~6pm     Saturday, ~9am     Saturday, ~1:30pm     Saturday, ~5pm     Other:

Do you wish to apply for a meeting scholarship? (see notes)
        yes         no
If yes, please provide justification (a limited number will be awarded based on need and whether presenting a paper; see the
notes for what the scholarship covers.):

If applying for a scholarship, please contact the meeting registrar for scholarship status prior to sending your check.


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
 would like to be contacted about carpooling to the meeting.
 would like to be contacted about the NMNWSE IMPACT! Award
 would like to be contacted about helping with EYH conferences or other NMNWSE outreach

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).

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