Teacher and Student Registration

Nobel Prize Symposium
American Physical Society
Berkeley - October 26-27, 2007

Nobel Prize Symposium Part I, Friday, Oct. 26, 5:00 - 7:15 p.m.
  Steve Chu     Biofuels
  Hope Ishii     Comet Dust
  George Smoot     Cosmology

Nobel Prize Symposium Part II, Saturday, Oct. 27, 1:15 - 2:30 p.m.
Walter Kohn Solar Power
Donald Glaser Noise Helps Vision

Deadline for registration is October 12.

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All fields are required

First name:

Last name:

Phone:

Email:

High School name:

Citizenship:

Country of Birth:

You are a:
High school teacher
High school student


Will you attend on:
	Friday, Oct 26, 5:00 - 7:15 p.m.	Yes	No
	Saturday, Oct 27, 1:15 - 2:30 p.m.	Yes	No

Banquet (Click for menu) on Friday, Oct. 26 Cost: $15
Do you wish to attend the banquet?		Yes	No
Vegetarian meal?		Yes	No
Banquest should be paid in advance: Please download and fill out the payment form for the Banquet. Banquet payment forms must be faxed or mailed to APS by Oct. 15. NON-REFUNDABLE.

Advance parking permits are required.
Do you need a parking permit on Friday?		Yes	No
Do you need a parking permit on Saturday?		Yes	No

You must click “submit” to send this form to us.
After clicking the button please wait for the confirmation page.