REGISTRATION FORM

Joint Fall Meeting of the Texas Sections of the APS, AAPT,
and Society of Physics Students (Zone 13)

Texas Tech University, Lubbock, October 23-25, 2003

For this form, please fill out the appropriate information below and then click on the "Produce Printable Form" button. After the completed form is displayed, please print it off on your local printer and mail it with your payment to the address on the form.

First Name:	Middle:	Last Name:
Affiliation:
Street:
City:	State:	Zip:
Country:	Telephone:	email:

Name as you want it to appear on badge:

Registration Fee:	$20.00 (before October 3, 2003)	$30.00 (after October 3, 2003)
Register for Friday Luncheon @$10.00:	Yes	No
Number of Banquet Tickets:	@$22.00	Choice New York Strip
Number of Banquet Tickets:	@$22.00	Vegetarian Plate

Are you an AAPT member?	Yes	No
Are you an APS member?	Yes	No
Are you a TSAPS member?	Yes	No
If you aren't a TSAPS member, are you planning to join?	Yes	No

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REGISTRATION FORM

Joint Fall Meeting of the Texas Sections of the APS, AAPT, and Society of Physics Students (Zone 13)

Texas Tech University, Lubbock, October 23-25, 2003

Joint Fall Meeting of the Texas Sections of the APS, AAPT,
and Society of Physics Students (Zone 13)