REGISTRATION FORM

1994 Fall Meeting of the NES/APS

October 7 and 8, 1994

NAME:___________________________________________________________

INSTITUTION:____________________________________________________

MAILING ADDRESS:________________________________________________

FAX NUMBER:_________________ TEL:_______________________________

ELECTRONIC MAIL ADDRESS:________________________________________ Meeting Registration Fees:

NES/APS Member  $30.00 _______ Student  $5.00 _____

Non-Member $40.00 _______ Emeritus $0 ________

Total: $_________

BANQUET (Friday, October 7)

Reservations Are Required
Choices: Chicken Piccata ________Baked Scrod______

Total Number: __________ x $25.00 = $___________

Box Lunch (Saturday, October 8)

Number: __________ x $7.00 = $___________

TOTAL AMOUNT ENCLOSED $___________

Please make checks payable to: BROWN UNIVERSITY - NES/APS

Return Registration and payment by September 26th to:

             Ms. Mary Ann Rotondo
             Physics Department, Box 1843
             Brown University
             Providence, RI 02912


maryann@het.brown.edu