I wish to register for the Tenth Conversation, June 17-21, '97. Registration
fee+: ( ) $150, students++ , ( ) $250, others
+Registration fee changes after March 31 '97. After Mar. 31, the fees will be respectively $175 and $275. We will appreciate a registration as early as possible to organize the affairs properly. ++Student registration must be accompanied by photocopy of student ID or a letter from the registrar certifying student status.
( ) I wish to present a poster/posters; ( ) I plan , ( ) I do not plan , to submit a manuscript based on my poster to the J. Biomole. Struct. Dyn.
( ) I wish to present a poster and a lecture based on my poster+++. If selected to provide the lecture I agree to provide the manuscript of my lecture for publication either in the Proceedings of the symposium or in the J. Biomole. Struct. Dyn.
+++Note that if you already gave a lecture at the Ninth Conversation you are not eligible to lecture at the Tenth Conversation.
Abstracts of posters are due on or before Mar. 1 '97. If you are requesting time to provide a lecture based on the poster, the abstracts must be received by Feb. 15 '97. If the abstract is not selected for oral presentation, it is understood that the poster alone will be presented.
Last Name (CAPS or type) ______________________________________Initials _______Male/Female
E-Mail ________________________________Fax ___________________ Phone _________________
Office Address ________________________________________________________________________
Street _______________________________________________________________________________
City _______________________________State/ Zip ___________________ Country ______________
( ) I am sending the form below to Howard Johnson for my stay and meals
( ) I am sending the form University Accomodations to Residential Life, The University for my housing, and asking them to reserve my meals at the Howard Johnson.
( ) I am making my own arrangements*
Complete the above part of the form in this form, make check/postal money order (drawn in any bank located in the US) for registration payable to Univ. Aux. Services+, and mail directly the check and this part of the form to Prof. R. H. Sarma, Chemistry Bldg, The University, Albany NY 12222 USA.+Federal ID = 1-1397537
*If you want to make your own arrangement, the nearest hotel is Ramada Inn at 518-489-2981. Please try to arrive by 6:00 PM on the 17th of June; plan to leave on the afternoon of the 21st. Prof. R.H. Sarma can be contacted at Phone: 518-456-9362, Fax: 518-452-4955 and E-mail:rhs07@cnsvax.albany.edu