Pritzker Symposium and Workshop Registration Form
January 29 - February 3, 1999  - Chicago

Please fill in the blanks below (with a text editor or a pen) then do one of

1) e-mail it to eder@oddjob.uchicago.edu (edited files only)
2) FAX to (773) 802-8212 c/o Carrie Eder
3) mail to:  Carrie Eder
             Department of Astronomy and Astrophysics
             University of Chicago
             5640 S. Ellis Ave
             Chicago, IL 60637
             Phone: (773) 702-8203

Don't forget to include your $100 registration fee plus $50 for each
unregistered guest you bring to the banquet. Make checks payable to
"Pritzker Symposium/University of Chicago". Reservations for lodging
can be made directly with the Hyatt Hotel.

Correction          : yes/no
Last name           : 
First name          : 
Institution         : 
E-Mail Address      : 
Attend Symposium    : yes/maybe/no
Attend Workshop     : yes/maybe/no
Attend Banquet m    : yes/maybe/no
# of Banquet Seats  :
Department          : 
Mail Stop/Bldg.     : 
Institution         : 
Street P.O. Box     : 
City                : 
State/Country       : 
Zipcode             : 
Phone #             : 
FAX #               : 

Comments            : 


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