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*** Registration is closed.

MEMS@MIT Fall 2008 Open House

November 5-6, 2008

Registration Form

Due to space constraints, total attendance at this event will be limited. First priority will be given to the MEMS Center Industrial sponsors, to special invitees, and to the faculty, students, and staff of MEMS@MIT. An active waitlist will be maintained for all others interested in attending, should space be available as we approach the date of the event.

Please complete this application as soon as possible to ensure your participation in this special event. We will communicate our ability to accept your application within 3 working days of receipt.

Please fill out all required fields in this form. Required fields are marked with a red asterisk. * Otherwise, you may receive an error message.

If you have any questions, please contact Chadwick Collins, chadcoll@mit.edu.

Name *

Job Title *

Affiliation *

How would you like your name to be printed on your badge? *

How would you describe your affiliation with MEMS@MIT? *

MEMS@MIT Industrial Board Member

Speaker/Poster Presenter

MEMS@MIT Faculty/Staff

MEMS@MIT Student

Invited Guest

MIT Faculty/Staff

MIT Student

Address 1 *

Address 2

City * State ZIP *

Country

E-mail *

Phone *

Fax

Assistant's Name

Assistant's E-mail

What session will you attend? * For the Fall 08 Open House, the poster session has been incorporated into the IAB Meeting and will be open to members of the Board, poster presenters, MEMS@MIT faculty, staff, and invited guests only.

Symposium (November 5, 2008, 8:30am-4pm) Reception follows

Industrial Board Meeting (IAB) (November 6, 2008, 8am-3:30pm)

All

Please describe any dietary restrictions that you have.
The default answer is "none."

Locations of sites will be given upon final confirmation of attendance.