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Dynamics Days 2005
Online Registration Form
Registration Deadline has been extended to
November 15, 2004
Note: Please read the online registration form below and be sure you have ALL information available before you register
for the conference. 

Changes to your information can be entered at a later date using this online form but you must enter your full name and any new information.

If you have any questions regarding the registration form please contact: 

Alison Lara  laraa@uci.edu   ph 949.824.7629   fax 949.824.2174

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    Registration and Banquet Fees

    Registration and Banquet Fees are to be paid by check, and should be received no later than
    November 15, 2004 (NEW EXTENDED REGISTRATION DEADLINE).

    Please make check payable to the UC Regents.  The feel are:
      :: Graduate students $100
      :: Post doctoral researchers: $125
      :: Faculty and all others: $150

    Payment should be sent to:
       Robert Rios
       University of California, Irvine
       Department of Physics and Astronomy
       2117 Frederick Reines Hall
       Irvine, California  92697-4575
       phone:  949.824.4680   fax:  949.824.2174  email: riosr@uci.edu

    Contact Information:
    • Name:
    First Last
    • Email:
    • Affiliation:
    • Job Title:
    • Status/Registration fee (includes banquet on Saturday night):


    • Full Mailing address (including zip code, and country [if not US]):





    • Phone:

      Fax:


    Financial Support

    PARTIAL financial support will be available only for graduate students and postdoctoral researchers who contribute either a poster or talk.
      • Are you requesting financial assistance?

    Presentation Information
    • Presentation Title:
    • Authors:
    • Abstract:
    • Preferred presentation format:



    Travel Information:

    All conference sessions will be held at the Coast Hotel in Long Beach, California.  (http://www.coasthotels.com/home/sites/longbeach/home.cfm)

    The Coast Long Beach Hotel is a luxury waterfront hotel in the middle of Southern California's popular coastal playground. The spectacular bay views are complimented by the resort atmosphere and friendly service. The
    hotel is accessible to all major freeways and just minutes from major attractions including the Queen Mary and Catalina Cruises.

    To guarantee a room, reservations should be made NO LATER THAN DECEMBER 1, 2004. When registering at the hotel, refer to the group name DYNAMICS DAYS to get the conference rate of $106 per night.

    The travel information that attendees provide while registering for the conference will be used primarily
    for presentation scheduling purposes.   If you make changes in your travel plans after you have submitted
    your registration information, please email the information to:
    Robert Rios
    Administrative Coordinator
    riosr@uci.edu

    For International Travel and VISA information, please go to:
             UCI International Center       
    • Arrival date:
      January , 2005
    • Departure date:
      January , 2005
    • Total number of nights you will be staying:

            Saturday Night Banquet:

                The banquet cost for conference participants is included in the registration fee.  
    • Number of total banquet attendees (including partiocipant) - additional guests  $25 each:  
                       
Special meal requests:
Please list choice of meal(s):   beef, chicken, vegetarian, or any special dietary needs, for each requested banquet ticket.







      Updated 10/27/2004,  1:15  p.m. pst