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Registration Form
2002 Joint Fall Meeting of the
New England Section of the American Physical Society
and the
North East Regional section of the American Association of Physics Teachers
October 25 - 27
Bridgewater State College
Last Name______________________ First Name________________ Middle Initial_____
Institutional
Affiliation__________________________________________________________________
Mailing
Address___________________________________________________________________
City _____________________ State ____Zip _______________ Country _______________
Daytime Phone Number ________________________ Fax Number ____________________
Email Address ______________________________________________________________
I am a member of: ( )APS ( )AAPT ( )SPS ( )Exhibitor
( ) I am an APS member, but not a member of the New England Section, and I would
like to become a member of the New England Section (no charge)
| APS or AAPT member |
$30 |
$ |
| Nonmember |
$40 |
$ |
| Student (undergrad or grad) |
$5 |
$ |
| Emeritus/Retired |
no fee |
|
| Friday Banquet |
$25 |
$ |
| Friday Banquet (student) |
$15 |
$ |
| Saturday Lunch |
$12 |
$ |
| Saturday Banquet |
$25 |
$ |
| Saturday Banquet (student) |
$15 |
$ |
| Workshops (see workshop page) |
List by letter & number |
|
| TOTAL PAYMENT |
$ |
Make check payable to Bridgewater State College.
( ) I am a student and would like to apply for reimbursement.
[Hold on to all receipts and submit a request after the meeting.]
Are you planning to give a talk/poster? ( )Yes ( )No
Title______________________________________________________________________
Abstract Fee** ($35 for each publication in the APS Bulletin)
Make a separate check payable to NES/APS for the abstract fee
**Only abstracts submitted electronically will have the full abstract appear in
the bulletin. Paper submissions will list title and author only.)
Send this form along with a check(s) by October 11, 2002 to:
Patty Benson
Bridgewater State College
Department of Physics
Bridgewater, MA 02325
phone: 508-531-1386
fax: 508-531-1785
pbenson@bridgew.edu
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