U.S. GLOBEC Georges Bank
Phase 4B PI Meeting Registration Form
October 2 - 3, 2006 Meeting

After completing the entries below, please click on the submit button at the end of the form.

First name:
Last name:

E-mail address:

Phone number:

Please indicate your tentative title of your presentation on Monday:

If you have any special dietary requirements, please specify them here:

Please indicate which meals we should plan to have for you. Costs for lunches are $12 each and dinner will be $25 unless otherwise waived.

Day Yes No
Monday lunch:

Monday dinner:

Tuesday lunch:

For those who wish to stay overnight , contact one of the following:

Mention the GLOBEC meeting to secure the indicated room rate.

Click here to submit your registration form: or here to

After clicking on the "Submit Query" button, you should see confirmation that your registration form has been accepted. If the information on this confirmation page is incorrect or does not end with "You have been successfully registered." please contact Chip Clancy.