AMS Short Course Registration Form Brochure

SHORT COURSE REGISTRATION FORM AMS SHORT COURSE ON: MILLIMETER WAVELENGTH RADARS SPONSORED BY: PNNL 25 SEPTEMBER 2011 OMNI WILLIAM PENN HOTEL PITTSBURGH, PA NAME: WORK TEL #:_____________________________________________ WORK AFFILIATION: FAX: ___________________________________________________ WORK ADDRESS: EMERGENCY TEL #: E-MAIL:_________________________________________________ This 1-day short course is sponsored by PNNL. Please note that this does not include admission to the full 35 Radar Conference. Seats will be filled on a first-come, first served basis until 16 September 2011 or until the 50-student cap is reached. There will be NO ON-SITE REGISTRATION. There will be NO REFUNDS after 9 September 2011. Badges with an orange short course flag must be worn at all times during the course. A luncheon will be provided as part of this short course. Access to internet and use of student-supplied laptops is required. Memory sticks with the class material and software tools for the hands-on laboratory portion will be distributed. REGISTRATION RATES SHORT COURSE AMS Non- Student Student REGISTRATION Member Member Member Non-Mem 1) ? AMS Short Course on Millimeter Wavelength Radars $50 $50 $50 $50 METHOD OF PAYMENT Credit Card: (? Master Card ? VISA ? AMEX ) ? Check ? Purchase Order #: _____________ Account #: ___________________________________ Exp. Date: _______ Name on Credit Card:_____________________________________________ TOTAL FEE: ________________ REGISTRATION POLICY Refunds are given (LESS a $25 FEE) if cancelation is received by 9 September 2011 (NO REFUNDS THEREAFTER). Registration will not be processed without payment. Confirmation of registration will be sent by e-mail.