Beacon 2001 and Space Weather Workshop Payment Form

Welcome to the Beacon '01 and Space Weather Workshop Payment Form page. Please be sure that you have already completed the Registration Form before you submit payment for this conference. This page asks you to calculate your cost for registration and accomodations. It also requests personal payment information.

In order to provide a convenient and secure mechanism for registrants to make payment, we have arranged for the following payments options:

For either payment option, please complete this form and send it to our office via FAX or regular mail. The FAX number and address are listed at the bottom of this form. We'll notify you when your payment has been received.


First name
Last name
Middle initial
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
FAX
E-mail
Number of Accompanying Adults and Children
 
Calculate your cost:
Registration Fee:$250 for both meetings. $200 for the Beacon Symposium only. $100 for the Space Weather Workshop only.    
Add $25 for Late Registration Fee if after May 5, 2001  
Please complete the following, if you plan to stay in campus housing:
Arrival Date (no sooner than Saturday June 2)
Departure Date (no later than Sunday June 10)
Total Number of Nights
Single or Double Accomodations
(Single=$49.00/per person/night, Double=$32.00/per person/night)  
Total Accomodations Cost:
 
Total Cost (Registration and Accomodations Cost):
Payment Type: VISA, MC, Check:
Enter VISA or MC card #:
Enter Credit Card Expiration Date:
       
Please sign here:    

If you are paying by credit card, you may FAX or regular mail this form to our office. If you are paying by check, please send this form together with a check for the Total Cost to our office.
FAX NUMBER: 617-552-2818

ADDRESS:

Beacon Satellite Symposium/Space Weather Workshop
Boston College
Institute for Scientific Research
140 Commonwealth Avenue
Chestnut Hill, Massachusetts 02467-3862
USA
Last revised: April 29, 2001

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