NASA Microgravity Materials Science Conference  Online Registration Form 1. Full Name (including Prof., Dr., Mr., Mrs., Ms., etc.) 2. Organization (company or affiliation) 3. Address 4. Phone Number (include area and country codes) 5. Fax Number (include area and country codes) 6. E-mail Address   7. Area of Interest    8. No Yes Are you a student?   (To have the registration fee waived you must fax proof of enrollment to Dannah McCauley at 256-544-8762) 9. Yes No Will you attend the registration reception at the Huntsville Museum of Art on Monday, June 5, from 6:00 p.m. until 9:00 p.m.?    10. Yes No Will you attend the conference reception at the U.S. Space and Rocket Center on Tuesday, June 6, from 6:00 p.m. to 10:00 p.m.?  (Transportation will be provided.)  How many reception guest tickets? ($20.00 each):    11. Yes No Will you attend the banquet at the Von Braun Center on Wednesday, June 7, following the technical sessions?    No Yes Would you like a vegetarian entree for the banquet?   How many banquet guest tickets? ($20.00 each) (If you require vegetarian entrees for your guests, please email Dannah McCauley with that information) 12. The organizers need to have a headcount for lunches. Note that the cost of the lunches is part of your registration fee. Will you eat lunch at the VBC on:   Tuesday, June 6? Yes No Wednesday, June 7? Yes No Thursday, June 8? Yes No 13. Presenters must specify audio-visual equipment they will need. Two overhead projectors and one 35 mm carousel projector will be provided in each meeting room. Anything else must be requested in advance, including VCR and monitor.   14. How will you pay the registration fee ($100.00)? (Note: NASA employees do not have to pay registration fees but will be charged for food as follows per person; Tues. Reception: $20, Wed. Banquet: $20 and lunch $10 per day.)   Credit card Check Cash (on site only) Please review this information before submitting.