Registration Form

Online registration for the symposium has closed.
You may register onsite.

You may register onsite at the symposium registration desk beginning Sunday, June 25th at 11am. The registration desk is located on the University of Washington campus in Kane Hall, Room 225 (2nd floor).

If you will be driving to campus you should park in the Central Parking Garage, which you can enter through Parking Gate 1 (located at the intersection of 15th Ave NE and NE 41st St).

Please complete information below

Title	Dr. Mr. Mrs. Ms.
First Name
Middle Initial
Last Name
Position
Organization
Street Address
Street Address
City
State or Province
Country
Zip or Postal Code
Telephone
Fax
Email Address*

*for registration confirmation and updates.

Confirmation of enrollment and payment will be e-mailed to you. To request a printed copy of your confirmation, contact Engineering Professional Programs at 1-866-791-1275 (toll free) or 206-543-5539 or e-mail uw-epp@engr.washington.edu.

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	Advance Registration Through April 30, 2006	Late Registration After April 30, 2006
Standard Registration	$525 (A)	$625 (A)
Student Registration	$350 (B)	$350 (B)

Registration fee includes abstract book, welcome reception, choice of one afternoon tour, continental breakfast, lunches Monday through Thursday, and refreshments at poster sessions.

Sunday Evening Welcome Reception Guest Ticket

One ticket is included with each registration. Additional tickets are $30 each.

Tuesday Afternoon Tours

One tour is included with your symposium registration. You may purchase additional tour tickets.

Tillicum Village Wednesday Evening Banquet

6:30-10:30PM (Optional)

Tickets for this optional event are not included in your registration. They are $60 each.

Cancellation policy

If you enroll and cannot attend, a refund of the registration fee minus $50 will be granted if requested by Friday, May 26, 2006. No refunds will be granted to registrants who fail to cancel after that date. If you are unable to attend, you may send another person in your place.

The University of Washington provides equal opportunity in education without regard to race, color, creed, religion, national origin, sex, sexual orientation, age, marital status, disability or status as a disabled veteran or Vietnam era veteran in accordance with University policy and applicable federal and state statutes and regulations.

The University of Washington is committed to providing access and reasonable accommodation in its services, programs, activities, education and employment for individuals with disabilities. To request disability accommodation, contact the Disability Services Office at least ten days in advance of the event: 206-543-6450 (voice); 206-543-6452 (TTY); 206-685-7264 (fax); dso@u.washington.edu.

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