QFS98 - Quantum Fluids and Solids Symposium June 9-14, 1998 REGISTRATION FORM Please register for QFS98 by filling in and submitting the form below. Please respond to this registration form by April 10, 1998. Submission of this form formally registers you for the conference. You must first use your browser to save this document as a file on your computer. Then edit the file in a text editor. E-mail (qfs98@oitvms.oit.umass.edu) or FAX [(413)545-1691] the copleted form. There is some possibility that the conference will be ovesubscribed. Notification of the acceptance of your registration will come to you by e-mail no later than April 24, 1998. You will also receive a payment form to be sent with payment. Once you have received notification of your acceptance for attendance at the conference, you should send the payment form to our Conference Services office by fax (for credit card users) or regular mail (for other forms of payment) for arrival no later than May 8, 1998. Address and acceptable modes of payment information appear on the payment form. Credit Cards are recommened (there is no surcharge for credit card use). Conference Services will acknowledge your payment by regular mail. Please read this entire form with care. IDENTIFICATION INFORMATION Your full name (last name first):____________________________ Your e-mail address:____________________________ Your telephone number:____________________________ (entered as if you were dialing yourself from the United States) Your mailing address: line 1.____________________________ line 2.____________________________ line 3.____________________________ line 4.____________________________ city, state/province:____________________________ postal code:____________________________ country: ____________________________ Your name as you would prefer it to be printed on your badge: ________________________________________________________ Your institution as you would prefer it to be printed on your badge: ________________________________________________________ How many non-participant adults__ and children__ will accompany you as guests? For non-participant adult(s), what name(s) should be printed on the name badge(s)? ________________________________________________________ For non-participant children, what name(s) should be printed on the name badge(s)? ________________________________________________________ If we should need to contact someone on your behalf in an emergency, whom should we contact? ____________________________ What is(are) the relevant emergency phone number(s)? (entered as if you were dialing the number from the United States)____________________________ REGISTRATION DETAILS Conference Registration Fee - required of all participants: ($275) date of arrival:_____ date of departure:_____ Approximate time of day of arrival (24 hour clock):_____ Dormitory accomodations will be in the Sylvan residence hall complex, which consists of suites of four rooms (two doubles, two singles), with a shared living/lounge area, and a shared bathroom. Shared dormitory rooms have seperate twin beds. To be assigned a shared room with a designated person, we request that each person name the other on the respective registration forms. If you wish to share, and do not indicate a name, we will simply make a selection for you. The dormitory is not air conditioned (which is usually not a problem in early June). __Dormitory ($25/night - single) __Dormitory ($21 each person /night - shared) Share room with:______________________ Check this blank___ if you will pay for both persons (eg. You are sharing the room with your spouse. $42/night) Campus Center Hotel accomodations are typical United States hotel rooms with private bathroom, television and telephone service. The hotel is air conditioned. __Campus Hotel ($60/night - single) __Campus Hotel ($70 total /night - shared) Share room with:__________________________ In the hotel do you prefer one bed__, or two beds__ in the room? Check this blank___ if you will pay for both persons (eg. You are sharing the room with your spouse. $70/night) __Other. If you selected other, where specifically will you stay?______________________ If you know it, please give us the local phone number at that location: _______________ Children staying in the same room with parents may do so at no additional charge if no additional beds need to be moved into the room. So, for example, children in the second bed in a hotel room are free. Children in sleeping bags in any room are free. If children will accompany you, do you wish a second accomodation room (separate from yours) for them at additional cost? yes__ no__ If yes, tell us what type of second accomodation room is necessary for your children. __hotel one bed ($60/night) __hotel two beds ($70/night) __dormitory one bed ($25/night) __dormitory two beds ($42/night) We anticipate that for families with children who request dormitory accomodations with two separate rooms, we will be able to place parents and children in adjoining rooms in the same dormitory suite. Do you have an unusual housing need? Tell us briefly: ________________________________________________________ Will you have a private or rental car? If yes, you will need a parking pass. Parking passes for the Campus Garage are included in the Hotel cost and will be available at hotel check-in. Dormitory residents will require a parking pass at $3.75 for each day or fraction of a day. For dormitory residents, for how many (full and partial) days do you need a valid parking pass?____ We anticipate that conference participants and guests will collectively dine in the University Dining Facility each day, although there are popular restaurants in downtown Amherst (1 mile from the conference site). Which of the following University Dining Facility meals do you wish to reserve for yourself and any guests that accompany you? (Lunch will be provided to conference participants each day as part of your registration fee; accompanying guests are on their own for lunch.) At conference check-in you will be provided a magnetic meal ticket for each person over age 4 appropriate to the number you indicate below. Prices include taxes. ____Plan A: 6 full breakfasts, 4 dinners ($61). Enter number of people. ____Plan B: 6 full breakfasts, 3 dinners ($53). Enter number of people. Children under 4 years of age may eat at no cost in the University Dining Facility. The Plan B option provides the opportunity to dine independently in downtown Amherst or elsewhere on one of the evenings if you should choose to do so. For those who prefer no breakfast (or prefer to have breakfast in the hotel Coffee Shop at additional day by day cost), we offer ____Plan C: 0 full breakfasts, 4 dinners ($33.25). Enter number of people. ____Plan D: 0 full breakfasts, 3 dinners ($25). Enter number of people. ____Total number of adult Banquet Ticket(s), including yourself (@$35 each for adults) ____Accompanying (well-behaved) children Banquet Ticket(s) (@$15 for each child under age 12) Of the total number of banquet tickets selected, how many (including children) should be beef____, fish____, or vegetarian____? If you have a significant dietary restriction, please provide us with the details in a seperate email and include the word DIET in the subject line, and we will try to accomodate you. PRESENT POSITION AND FINANCIAL AID INFORMATION Please indicate the most appropriate response: __faculty member __non-faculty professional physicist __postdoc __graduate student __undergraduate student __other A limited amount of financial assistance is expected to be available, primarily for students and unfunded investigators. Check here if you are requesting financial assistance. Is the research on which you are working funded? yes__ no__ What level of financial support from the conference would be required to allow you to attend? $________ A COMPANIONS PROGRAM IS AVAILABLE The following excursions are expected to have enough enrollment to be included as options for guests. Any excursion which is cancelled due to low enrollment will result in a full refund for any payment which is made. Due to transportation, these tours will have upper limits to enrollment. We encourage pre-registration for any excursions. Please enter the total number of adults who wish to pre-register for each excursion. ____Emily Dickinson Home and Pratt Museum ($10) ____Historic Old Deerfield and Yankee Candle Company ($35) ____Clark Art Institute and Hancock Shaker Village ($35) ____Norman Rockwell Museum and Berkshire Outlet Village ($35) ____Pearce Glassworks and Quechee, Vermont ($45) Participants accompanied by children who may wish to participate in these excursions (those listed above or the two listed below) should send us an e-mail indicating the specific situation and choices to us. Include the word EXCURSION in the subject line. We will try to accomodate such children at reduced cost as special cases. And, for the free afternoon, participants and guests will have the opportunities listed below. Please indicate the number of adults who wish to take one or the other of these opportunities. ____Visit the Dickinson House and Pratt Museum ($10). ____Take a walking hike up Mount Narwottock (FREE, including tranportation). REGISTRATION SUBMISSION Please proofread the information you have provided, then send us this form either via e-mail or fax. (e-mail: qfs98@oitvms.oit.umass.edu, subject: 'REGISTRATION', fax:413-545-1691) We will respond to you with a payment form. This payment form MUST be sent regular mail (or faxed if you are paying by credit card [no service charge will be added]). Return of this form must be made so that it arrives in our Conference Services office no later than May 8, 1998. All payments will be acknowledged by regular mail by Conference Services. This acknowledgement will include a campus map and instructions as to the location of housing check-in and conference check-in, a summary of conference events, etc. This location information and conference summary information will also be posted on our web pages. (Please read the further comments below.) FURTHER COMMENTS (1) Abstracts are due by April 10, 1998, as described earlier and detailed on our home page. A template must be used for abstract submission. PLEASE try a local printout to be sure that your LATEX abstract does what it is supposed to do before you send it to us. Abstracts will be acknowledged and assigned an abstract reference number. This may take us several days. Please be patient. Future communication concerning your abstract must include the abstract reference number. (2) Manuscripts are due camera ready by regular mail by June 1, 1998. Please note that we have added something to the submission requirements for manuscripts: each manuscript must be accompanied by an unattached cover page which indicates the manuscript title and name and e-mail address of the corresponding author - the conference participant to whom we may address questions if they arise, and to whom we may give the referee report(s) at the end of the conference. This cover page must also contain the names of three persons (who are likely to be conference participants) whom the manuscript authors suggest as referees. (3) Conference size. The response to our "intent to register" form tells us that the conference may be modestly over-subscribed. All participants should register and submit abstracts by April 10, but should not send payment until they are notified that they are accepted as conference participants. We anticipate acceptance decisions will be completed by April 24. The payment deadline is May 8, 1998. We doubt that this will be a significant problem.