Registration

This information will be used only in connection with the 29th MESSENGER Science Team Meeting to generate rosters, name tags, and to provide attendee contact information to the conference sponsor. The information will be encrypted and protected from other uses or disclosures. Payment, including credit card information, is also encrypted before being sent to our online payment vendor, which provides additional safeguards.

29th Science Team Meeting Registration Deadline Date – February 1, 2013
Contact Information
Title/Rank:  
First Name:    
Last Name:   
Name Tag Preference:
Organization:   
Mailing Address Line 1:  
Mailing Address Line 2:
Mailing City:  
Mailing State:    
Mailing Zip:    
E-mail Address:   
Phone Number: (i.e. 123-456-7890)    
US Citizen?:  
Non-US Citizen Details

IMPORTANT...Please read this entire section before entering any information!

For Foreign Visitor/Visa Holder
If you are a Foreign Visitor/Visa Holder, the following information is required in order to obtain access to APL facilities. This information and your registration must be received by February 1, 2013.

For Green Card Holders
You must bring your actual Green Card with you in order to obtain access to APL Facilities.

Date of Birth:
Open the calendar popup.
 
Citizenship:  
Dual Citizen?
(provide 2nd citizenship):
Country Represented:  
Organization/Company:   
Other Registration Details
What days are you planning to attend?  


 
How many nights will you need hotel accommodations?

 
MESSENGER Science Team Dinner

The MESSENGER Science Team Dinner will take place on Wednesday evening, February 27, 2013 at 7:00 PM at the Ranazul Restaurant, 8171 Maple Lawn Blvd, Maple Lawn, MD 20759. In order for you to attend, a payment in the amount of $50 should be received by 15 February 2013. Upon receipt, your name will be added to the guest list. If you have any special dietary request (e.g. gluten-free, vegetarian), please e-mail Zana Watson.

Do you intend to attend the Team Dinner?  
 
Payment Information
Number of Guests (including yourself):
Registration Fee:
$50
Science Team Dinner, Wednesday evening, February 27, 2013
  
Payment Type: