Group Registration Form

Society of Physics Students Zone 9 Meeting
Augustana College, Rock Island, Illinois
November 20-21, 2009

Students from Zones 8, 9 and 11 are invited to attend and present talks and posters.

Please use this form and register as a group. Later, if some of this information changes, either (a) send this form again with everything filled out or (b) send an e-mail to David Renneke with the new information. Note: The deadline for banquet and lunch reservations is noon on Wednesday, Nov. 18. Students should bring a sleeping bag and a pillow if they choose "crash" housing.

Contact Information of the SPS Advisor

School name
First name	Last name
School Address - line 1
School Address - line 2
City	State	ZIP code
E-mail

Number of people attending including advisors *Note: The registration fee is $6 per person.*
Number of female students who require "crash" housing
Number of male students who require "crash" housing
No. of students giving 10 min talks No. of students presenting 1.1 x 1.1 m posters

	Number
Friday dinner (5:00 pm)
Saturday lunch (reservation required)
Comments (e.g. special dietary needs)


Last update: Nov. 11, 2009	Return