REGISTRATION FORM
This form was included in the second circular


Center for Continuing Education
University of Notre Dame


Name:__________________________________________________________________

Institution:______________________________________________________________

Deparment:______________________________________________________________

Mailing Address:_________________________________________________________

_______________________________________________________________________

Daytime telephone number:_________________________________

E-mail address:__________________________________________

Fax number:______________________________________________



CONFERENCE REGISTRATION FEE:
(includes meeting material, proceedings, luncheons, and refreshments, reception and cook-out)

_______ $100 ($125 after June 9th)

_______ $80 full time student ($100 after June 9th)

PAYMENT METHOD:

_________check enclosed (make check payable in US funds to: University of Notre Dame,CCE)

_______ VISA ______Mastercard, exp.date:_______________

card number: ________________________________________

cardholder signature:__________________________________


Total due:_____________

ACCOMMODATIONS: Rooms are being held for the nights of June 30 - July 4. If you desire accommodations, please indicate your preferences and return this form to the address below. Requests received after June 9th will be honored on a space available basis only.

___________ Notre Dame air conditioned dormitory (tax included) $26 single, $20 per perosn double.

___________ Morris Inn (on the campus, directly across the street from the conference center) $72-80 +tax

(If you are unsure of your arrival time or know that if will be after 6:00pm, we require a credit card guarantee to hold a room for you all night.)

arrival date: _______________________ arrival time:_________________ departure date:________________________

Please reserve the following accommodations:

________ Single room, one person _________ Double room, two or more persons

Name(s) of person sharing room____________________________________

________ no guarantee requested

________ credit card guarantee, card type:____________________ expiration date:____________

card number:_____________________________________

MAIL THIS FORM TO:

High-Precision Gamma-Spectroscopy
Center for Continuing Education
Box 1008
Notre Dame, IN 46556

Questions? Call (219)631-6691
fax number (219)631-8083
e-mail: cce.1@nd.edu