The Open Science Conference is limited to 150 Participants

Please fill out and submit this form by September 5, 2003 to reserve a space at the Open Science Conference
(please submit in English)


Participant Contact Information: 
First Name (Given Name):
Last Name (Family Name):
Institution/Affiliation:
Mailing Address:
 
City:
State:
Postal Code:
Country:
Phone:
Fax:
E-Mail Address:
 
Your Conference Attendance Oct. 6th (Welcome Reception)    
  Oct. 7th     
  Oct. 8th     
  Oct. 9th     
 
Are you interested in presenting
a poster?		 Yes No
If yes, Title
  Abstracts must be submitted online no later than
August 31, 2003.
 
Do you require visa assistance? Yes No


A brief summary of your research / area of interest

Additional Comments


There is a $200 USD registration fee for attending this conference, which will help us cover conference materials and support, coffee breaks, and some meals (to be determined)

We regret that we are unable to accept credit card transactions for the registration fee.
We would be happy to accept your registration fee upon arrival at the conference,
or if you prefer you can mail a check in the amount of $200 USD PAYABLE TO
THE UNIVERSITY OF NEW HAMPSHIRE
at the following address:

ATTENTION: Darlene Dube
University of New Hampshire
CSRC/Water Systems Analysis Group
Institute for the Study of Earth, Oceans, and Space
211 Morse Hall, 39 College Road
Durham, NH 03824-3525 (USA)

Please include your full name, institution, and country of origin
so we can properly credit your registration fee.