REGISTRATION FORM
1998 Huntsville Workshop on
"The New Millennium Magnetosphere: 
Integrating Imaging, Discrete Observations, and Global Simulations"
October 26-30, 1998


NAME:___________________________________________________________________________
		Title		First			MI			Last

INSTITUTION NAME:______________________________________________________________________

MAILING ADDRESS:_______________________________________________________________________

_________________________________________________TELEPHONE:_____________________

E-MAIL ADDRESS:________________________________________________________________________

WORKSHOP FEE:	$220.00

Enclosed is a check in the amount of $__________ to cover __________ registrations.

If registering more than one person, please list additional names and information on an additional page or duplicate this form. 
 
We are unable to accept credit card payments. 

--------------------------------------------------------------------------------

Make all checks payable to:  University of Alabama in Huntsville

Mail/Fax form to:  
					Ms. Peggy Moss / TH-S101
					The University of Alabama in Huntsville
					Center for Space Plasma & Aeronomic Research
					Huntsville, AL  35899
					TEL: (256) 890-6660
					FAX: (256) 890-6575


REGISTRATION FORM