You may download the registration form as a Word or PDF document,
or simply print this page.

WIYN CONSORTIUM, INC.

 

University of Wisconsin    ·    Indiana University    ·    YaleUniversity    ·   
National Optical Astronomy Observatory

Registration Form

WIYNFest

New Haven, CT
October 27, 2001

(please type or print clearly)

Name:                                                                                                                                     

Address:                                                                                                                                  

City, State:                                                                                                       Zip:                 

Phone:                                       Fax:                               Email:                                                

Alumnus:  ___  University of Wisconsin    ___  Indiana University    ___ Yale University

Special Needs:                                                                                                                        

Lunch:A limited number of tickets for lunch in the Yale Colleges with the astronomers
of the WIYN institutions will be available at the meeting at a cost of $8.00.

Please indicate your interest in attending: ____ Yes   ____ No

Dinner Reservations:  ($75.00 per person:  limited seating, as available upon receipt)

___ Yes, I will be attending dinner at 6:30 pm, October 27, 2001, at the Peabody Museum

            Number -----       Choice of dinner(s) is:       ___ Beef Napoleon

                                                                                    ___ Herb & Horseradish Crusted Salmon

                                                                                    ___ Cappellini with Grilled Vegetables

___ No, I will not be attending dinner at the Peabody Museum

Mail registration and/or payment to:        Or Fax registration with charging instructions:

YaleUniversity Conference Services           M/C                                                       Exp:___

P.O. Box 208355

New Haven, CT  06520-8355                        Visa:                                                       Exp:___

Phone: 203-432-0465

Email:  Confserv@yale.edu                          Signature:                                               Date:___

(please make checks payable to:                 

YaleUniversity)                                             Fax: 203-432-7345

Registration Deadline is October 6, 2001, at which time registrants will be mailed confirmation
and further conference details.  Conference packets will be available at conference registration. 
If you have questions about registration, please contact Conference Services.