SPS Zone 10 Meeting Registration

SPS Zone 10 Meeting Registration March 9 – 11, 2007 Louisiana State University

Please fill out the form below and return with your registration fee to: Dr. T. Gregory Guzik, SPS Faculty Advisor, Department of Physics & Astronomy Louisiana State University, Baton Rouge, LA 70803-4001 Registration fee is $15 if received on or before February 2, 2007; Late registration is $25 (after Feb 2 and before March 8); On-site registration is $35; Make checks payable to “Society of Physics Students”

Last Name: First Name: Address: City: State: Zip Code: Daytime Phone: E-mail Address: Do you need transportation to the off-campus activities? Yes: No: Special dietary needs?

Number of presentations you will be making at the meeting Title: Oral , Poster , or Chapter Report Abstract:

Title: Oral , Poster , or Chapter Report Abstract:

(Include additional presentation description lines if needed)