Registration
Final check of registration information.
Registration Form
[FMP-if:field:salutation .eq. none][FMP-else][FMP-field:salutation] [/FMP-if][FMP-field:first_name] [FMP-if:field:mi .gt. 0][FMP-field:mi] [/FMP-if][FMP-field:last_name]
[FMP-field:affiliation]
[FMP-field:city], [FMP-field:state], [FMP-field:country] [FMP-field:zip]
[FMP-field:email]
Phone: [FMP-field:phone]
Fax: [FMP-field:fax]
Cell Phone : [FMP-field:cell_phone]
Status: [FMP-if:field:student .eq. yes] Student[FMP-else]Non-student[/FMP-if]
I plan to attend:
opening reception on Sunday, September 14, 6 - 8 pm, Dabney Lounge and Gardens.
[FMP-if:field:reception_1 .eq. yes]
yes
no[FMP-else]
yes
no[/FMP-if]
reception at the Asia Pacific Museum on Tuesday, September 16, 6 - 8 pm.
[FMP-if:field:reception_2 .eq. yes]
yes
no[FMP-else]
yes
no[/FMP-if]
banquet at the Athenaeum on Thursday, September 18, 7 - 11 pm.
[FMP-if:field:banquet .eq. yes]
yes
no[FMP-else]
yes
no[/FMP-if]
JPL tour on Friday, September 19, 12:00 - 2:30 pm.
[FMP-if:field:jpl_tour .eq. yes]
yes
no
Country of Citizenship:
[FMP-else]
yes
no[/FMP-if]
My Meal Preference [FMP-if:field:meal .eq. vegetarian]Vegetarian[FMP-else]Non-vegetarian [/FMP-if][FMP-if:field:extra_banquet .gt. 0][FMP-else]
I will be bringing [FMP-field:extra_banquet_tix] guest(s) to the banquet at the Athenaeum (at $60 per additional ticket). The meal preference of my guest(s) is
[FMP-if:field:meal_guest .eq. vegetarian]
[FMP-else]
[/FMP-if] Vegetarian
[FMP-if:field:meal_guest .eq. non-vegetarian]
[FMP-else]
[/FMP-if] Non-vegetarian [FMP-field:meal_guest][/FMP-if]
T-Shirt Size Requested: [FMP-if:field:shirt .gt. 0][FMP-field:shirt] [FMP-else]Large[/FMP-if]
TOTAL FEE DUE: $[FMP-field:total_fee]
Please make corrections, or click on confirm and continue below. An email will automatically be sent to you with the registration information that you have provided.
On the next screen you will start the credit card payment process.
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