Group Registration Form

Society of Physics Students Zone 9 Meeting
Augustana College, Rock Island, Illinois
April 21-22, 2006

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 Wednesday, April 19. 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

No. of people attending including advisors
No. of female students who require "crash" housing
No. 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

	No.	Unit Cost	Amount
Friday banquet (6:30 pm)		$17.50
Saturday lunch (reservation required)		free
Comments (e.g. special dietary needs)


Last update: April 6, 2006	Return