REGISTRATION for WORKSHOP on GROUND-BASED SUPERNOVA SURVEYS

If you are interested in participating in the Ground-Based Supernova Surveys workshop, please fill in the form below.
Name:
Institution:
Collaboration(s):
Mailing address (street, #):
Mailing address (City, State, Zip code, Country):
E-mail Address:
Office Phone Number:
Office Fax Number:
Cell Phone Number (if available):
URL of Personal Web Page:
URL (s) of scientific interest
to ground-based SN surveys:
How and when do you arrive in Chicago:
When will you leave Chicago:
Will you stay at Printer's Row Hyatt (Y/N)
(if yes, Tiffany Miles will make and
confirm your hotel reservation):
If not at Printer's Row,
then where will you stay:
What is your favorite snack food:
Will you attend dinner
on Saturday night (Y/N)
(if student then $10, else $20):
Will you bring a companion
to dinner (Y/N):
Additional information or comments: