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

Last update:  Nov. 11, 2009