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2008 Department Chairs Conference
Registration Form

June 6-8, 2008
American Center for Physics
College Park, Maryland 20740

  • Registration Fee
    Conference Registration includes the conference, lunch, dinner, and transportation
    from the hotel to the American Center for Physics.
    Early Bird (Received by May 15) $330  
    Late Registration (Received after May 15) $395  
  • To register by mail, download registration form (PDF)
  • Registration is limited to the first 125 paid registrants.
  • Cancellations with refunds accepted in writing or email until May 15. No refunds after May 15.
  • View Hotel information and Car Rental information.
* Indicates required field
This information will be used to create your meeting badge
First Name*
Middle Initial/Name
Last Name*
Institution*
Mailing Address*
City*
State*
Zip Code*
Country
Email*
Disabilities/
Special Needs
I am interested in participating in the Congressional Visit on Friday, June 6, 2008 Yes No
Meeting_Preregistration Fees
Late Registration: $395
Payment
Credit Card* Visa MasterCard Discover
American Express Diners Club
Name on Card*
Card Number*
Expiration Date* /
Card Security Code
Where is my Card Security Code(CSC)?
For more information, visit the website of your credit card company.

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