Name:

Street Address:

City, State, Zip:

Phone:

Email:

Sessions

Please indicate whether you will attend:

Sunday, September 19

Yes NoOpening Dinner Reception

Monday, September 20

Yes NoWorkshop Sessions - 8am-5pm

Yes NoLunch

Yes NoDinner

Tuesday, September 21

Yes NoWorkshop Sessions - 8am-5pm

Yes NoLunch

Yes NoDinner

Wednesday, September 22

Yes NoField trip

Meals

Please describe any special meal requests/dietary requirements/allergies:

Please let us if your spouse, significant other or traveling companion will be accompanying you on this trip (we may be able to accommodate them for the Monday reception and/or Tuesday night dinner:

Accommodations

I require lodging:

Yes NoArrival date: Departure date:

Please list any special needs or requests:

Travel

I require the following travel assistance (please check all that apply):

Airfare and plan to use the travel agent

If you check this box, our travel agent will contact you directly with flight options and will work with you to find flights that accommodate your needs and conform with our travel guidelines.

If yes, please provide the following information:

Departure date: Return date:

Home airport: Destination airport:

I plan to make my own reservations (scholarship recipients will be reimbursed, according to the travel guidelines, following the September meeting with proper documentation of expenses).

Additional Comments