Binary Asteroids 5 Home

Binary Asteroids 5 Registration

Use this form for new registrations only

  • If you need to modify or withdraw your registration, send an email to Brian D. Warner with details.

  • If you did not pay the registration fee when you registered, use this link to make payment now.

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  Fields marked with * are required
  Fields marked with ** will appear on badge
 

Title 
 
Registration Name     MI     Family Name 
 
Preferred Name **
This is the name that will appear on your badge. Leave empty to use the registration name.
The font size will be adjusted to allow fitting it on the badge (3.75").

 
Institution **
 
Address (street/number) 
 
City **
 
State/Province 
Leave empty if none. If U.S., use 2-letter code
 
Country **
Used on badge only if outside U.S.
 
E-mail *
 
 
If all required information is correct, you can preview your badge. This does not complete the registration.
You must click the Sumbit Registration button at the bottom of the page to go to the confirmation/payment page  
 

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Check your badge before submitting the registration. If necessary, shorten an entry, e.g., the Instituion name. LaTeX interpretation for diacritical marks is not available at this time.

Guests

There won't be any planned activities for guests of participants. However, you can pay for one guest now ($40 USD). This gives them access to the coffee breaks and the planned "night out" at Coopersmith's (subject to change).

If bringing a guest, check the box and enter their first and family name in the field below. A badge will be provided with the name and "Guest" underneath.

If the box is checked, the Guest Name must have an entry.
If the box is not checked, the Guest Name must be empty.

 I am bringing a guest.

Guest (Full Name) 

Additional guests are welcome with a $40 (USD) cash payment due at the start of the meeting.


Visa

Use the Visa Wizard (opens a new window or tab) on the U.S. Department of State web site to see if you need a visa and, if so, the type and application process required.

   I need an invitation letter for a visa application


Reception ("Night Out")

There will be a banquet (buffet and beer) at Coopersmith's brewery on Wednesday September 4. This will be a sit-down buffet, two free beers per person, and ping-pong and pool tables.

The cost is part of the registration. No refunds or lower cost if not going.

Parking is at a premium. To keep the number of cars heading over to a minimum, a bus will be available to get from the Hilton Gardens Inn to Coopersmith's and back. For planning purposes, we need to know if 1) you (and guest) will be attending and 2) if you want to use the bus service (no worries about getting safely back).

Select an option *   Not coming     Coming - Bus     Coming - No Bus

Please confirm all information is correct before submitting the registration.
Changes cannot be made afterwards except by sending an email to Brian D. Warner

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