The number of attendees at this Workshop is strictly limited. Registration
will be on a first come/first served basis. Please pre-register early to assure a space.

Workshop on Electromagnetic Crystal Structures,
Design, Synthesis, and Applications
January 6 – 8, 1999,
Surf & Sand Hotel,
Laguna Beach, California

1999 WECSdsap Registration Form

PRE-REGISTRATION DEADLINE: DECEMBER 8, 1998

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Registration to the 1999 WECSdsap Workshop includes attendance at the technical sessions, coffee breaks, lunches, the Welcome Reception and the Banquet.
Registration fees are as follows:

Prior to December 8, 1998: $365.00
On-Site: $405.00		 Please Check off One:
Shuttle Reservations from John Wayne Airport: $10
Shuttle Reservations from Los Angeles Int'l Airport: $20
 Checkbox3:00 pm - John Wayne    Checkbox2:00 pm - LAX
Checkbox4:00 pm - John Wayne    Checkbox4:00 pm - LAX
Checkbox5:00 pm - John Wayne    Checkbox6:00 pm - LAX
Checkbox6:00 pm - John Wayne
Checkbox Check   Checkbox Electronic Money Transfer

TOTAL: $________________________

Please Make Checks payable to WECSdsap.
Registration is not complete until payment is received.
Electronic Money Transfer:
Bank account number: 04436-09230. Routing number: 121000358
Bank account name: California Institute of Technology Commercial Account
Bank address: Bank of America. · L.A.Main · 525 S. Flower Street · Los Angeles, CA 90071

Refund policy for Pre-registration: Registration cancellation and requests for refunds must be in writing and received no later than December 18, 1998. There will be a $25.00 processing charge. No refunds will be issued after December 18, 1998.

Return this form to: Janie Docter
· Box 951594, · 420 Westwood Plaza, · Los Angeles, CA 90095-1594 · FAX (310) 206-4685 ·

Click here for the ASCII version of this form (email ready).