Tri-Service 6.1 Metamaterial Review- Dr. Weinstock - May 24-26 (May 27-Government Only) 2010
Page One
1.
Please provide your contact information.
First Name
Last Name
Title
Company Name
Street Address
Apt/Suite/Office
City
State
Postal Code
Country
Email Address
Phone Number
Fax Number
Mobile Phone
URL
2.
How do you want your name to appear on your badge?
3.
What dates will you be attending?
May 24
May 25
May 26
May 27 (Government Employees Only)
4.
Are you speaking / presenting at this conference?
Yes
No
Not sure
5.
If You are a Speaker / Presenter has your presentation been cleared for public release?
Yes
No
Not sure
Not presenting
6.
Will you be submitting an abstract?
Yes
No
Not sure
7.
Please upload your abstract by Friday, April 23, 2010.
Any abstract over 1 megabytes should be submitted via e-mail at registration@afosr.af.mil.
8.
Do you agree to have your abstract/ presentation distributed to all attendees at this conference?
Yes
No
Not submitting an abstract
9.
Do you agree to have your contact information distributed to attendees following this conference?
Yes
No
10.
Comments?
Online Surveys
powered by SurveyGizmo
