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