Please submit this form, or a paper version, by May 15. If you plan to attend, please return the form even if you do not require housing, in order that we can provide a list of participants and plan for refreshments. To submit an abstract for a presentation at the poster session, see Poster Session Abstracts. We request that you submit abstracts by April 15 to be considered for the poster session.
If you wish to request travel support, you should also fill out the travel support form.
Address (use up to 3 lines)
City State Nation (If not US):
Zip , or international postal code:
Telephone Number: extension?
Email Address:
Which nights do you need housing? Thursday Friday Saturday Sunday
Gender (for suite assignments) Male Female
If you specifically wish to share a room with another conference participant (rather than a non-participant accompanying you), please indicate that person's name:
None 1 2 More than 2
Since we have no reasonable way to collect charges over the internet (we cannot accept PayPal), you may either send a check, payable to Lehigh University, to David Johnson or Don Davis at the address at the bottom of this form, or you may pay upon arrival (with either a check or credit card).