Astrophysical Ages and Time Scales Registration Form

Main Page Registration and Fees Conference Program Organizing Committees Proceedings Participants Related links The Gemini Observatory The Subaru Telescope

PLEASE NOTE: Please print the page created after you hit the 'Create Registration Form for Submission' button, sign it, add your credit card information (if paying with a credit card) and return the form to Gemini. Please use only plain text characters in the form fields. Name: Title: Institution: Name on Badge: Address: City: State/Province: Postal/Zip Code: Country: Telephone: Fax: E-mail: Accompanying Guest's Name for Banquet and/or Volcano Tour: I am giving: An oral presentation A poster Neither Presentation Title: Conference Registration Fee: (All fees to be paid in US dollars) Early Registration Fee: $200 (before November 1, 2000) Registration Fee: $250 (after November 1, 2000) Student Registration Fee: $120 (before January 15, 2001) Conference Banquet: $35 per person - Number of persons : Volcano Tour: $28 per person - Number of persons : Summit Tour : CLOSED Total Amount Enclosed (registration+tours): Please print the page shown after you hit 'Create Registration Form for Submission', sign it, add your credit card information (if paying with a credit card) and either post it with your check (if not paying with a credit card) to: Astrophysical Ages and Time Scales Conference Gemini Observatory 670 N. A'ohoku Place Hilo, Hawaii 96720 (808) 974-2500 or fax your signed registration form with credit card info to: (808) 933-1624 Make check or money order (drawn on US bank in US currency) payable to `Gemini Observatory'. Be sure to include your name, phone number and email address. Requests for refunds must be received no later than January 5, 2001. For further information contact timescales@gemini.edu

February 13, 2001