Physics and Astronomy Alumni
On-Campus Summer Conference Housing
Registration Form (Print out, complete and mail in)

(Reservation Deadline: April 28, 2000)
Registration Information (Please type or print).

Name:           _________________________________________________________
                    (First)                       (Last)

Address:        _________________________________________________________
                    (Street Address)

                _________________________________________________________
                    (City)                        (State)      (Zip Code)

Phone Number:   ________________________  FAX#: _________________________
                (Area Code)  (Phone #)

E-mail Address: _________________________________________________________


Please complete, as applicable, if reserving accomodations in Campus 
   Housing:

Check one:                           Check one:
Male __  Female __                   Smoking __ Non Smoking __


Check one:
Single Room @ $31 Daily __    Double Room @ $23 Per Person Daily __
                              Roommate's Name ___________________________
                              Assign Roommate if possible (check here) __


Please complete arrival and departure dates in space provided:

Arrival Date:   ________________   Anticipated arrival time:   _________

Departure Date: ________________   Anticipated departure time: _________

In order to gurarntee housing availability, one night's non-refundable
deposit ($31 for single; $23 per person for double) is due by April 28,
2000.  Balance due on arrival.

Send completed registration form along with non-refundable deposit, 
payable to IFR 901150, to:

                Conferences & Special Events
                440 Administration
		SUNY at Stony Brook
		Stony Brook, NY 11794-1603

Phone # (631) 632-6320                          FAX # (631) 632-9503 
                  email: askala@notes.cc.sunysb.edu