Berkeley Atmospheric Sciences Center Symposium Registration

Berkeley Atmospheric Sciences Center Symposium
February 8, 2013 at UC Berkeley

Web Registration Form
(To modify an existing registration, please click here)

Registration begins: January 9, 2013
Registration/poster title submission ends: Feb 4, 2013

Registration fee: $50.00 (free for undergraduates)
Fee is payable by IOC if affiliated with UCB, by personal check otherwise.
We would appreciate receipt of payment by, or soon after, February 6, 2013.
We regret that we are not set up to process credit cards.

Please make your check to "UC Regents" and send it to:

Professor Ron Cohen
Berkeley Atmospheric Sciences Center
c/o Dept. of Chemistry
UC Berkeley
Latimer Hall
Berkeley, CA 94720-1460

You will receive a confirmation email with information entered below.
Please retain this information as you will need it if you modify/update your registration.
An (*) indicates a required field

Personal Information

Preferred Title:
First Name: *		Last Name:*
Affiliation/Org: *
Mailing Address:
Department: *
Mailing Address: *
City: *		State: *
Zipcode or Mail Code: *		Country: *
E-mail: *
(confirm email) *	(retype)
Phone: *
Fax:
URL:

Submitting a poster?
(NOTE: Only 1 lead-authored poster per registered attendee please)
Yes No

If "Yes" (Fields below required):
Poster Title:
Poster Lead Author:
Poster Co-Author(s):

Are you a student/post-doc? Yes No
If "Yes" (* Fields below required):
Position:*
Primary area of interest:
Name of Advisor:*
Advisor's Department:*

Berkeley Atmospheric Sciences Center Symposium February 8, 2013 at UC Berkeley

Berkeley Atmospheric Sciences Center Symposium
February 8, 2013 at UC Berkeley