**Registration Form**

**RESRAD and RESRAD-BUILD**

**TRAINING WORKSHOPS**

May 14 -- 18, 2007

Argonne National Laboratory

**[General Info]{.underline}:**

**Name & Title** [\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}

**Affiliation**
\_[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}

**Address**
\_[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}

**City, State, Zip**
[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}

**Business Phone**:
[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}
**Fax:**
[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}

**E-mail**
[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}

**Citizenship:** \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ (If non-US
citizen, additional information is required

for clearance which can take up to 30 days to process. For sensitive
countries, clearance takes 6-8 weeks to process.)

**[Payment:]{.underline} □** \$700 (Before April 15, 2007)

**□** \$800 (After April 15, 2007)

(1) Make check/money order payable to: **ARGONNE NATIONAL LABORATORY**
    and

> send to Argonne National Laboratory, Attn. Carole Ealy, 9700 South
> Cass Avenue,
>
> [Bldg. 900]{.underline}, Argonne, IL 60439.

Or:

> \(2\) If you wish to pay by credit card, (Visa, MasterCard and
> American Express) please contact Carole Ealy at <cealy@anl.gov> ,
> phone (630) 252-5677**.**

**[Cancellation Policy:]{.underline}**

Full refund if attendee cancels before April 15, 2007).

No refund after April 15, 2007 (no substitution due to security policy).

This workshop is subject to cancellation either due to security reason
or lack of sufficient attendees. (Note that RESRAD workshops have never
been cancelled in the past). However, if the workshop is cancelled by
us, the registration fee will be refunded.

**[Location:]{.underline}**

The workshop will be held at 1200 Internationale Parkway, Building 900,
Woodridge, Illinois 60517.

Building 900 is located one-mile southwest of the main Argonne Site
(Note that public transportation is unavailable).

> **[Nearby lodging (please call direct]{.underline}):**

Argonne Guest House (On Site) Marriott, 630-739-6000 LaQuinta Inn,
Willowbrook, IL, 630-654-0077

Extended Stay America, Darien, IL, 630-985-4708 Red Roof Inn,
Willowbrook, IL, 630-323-8811

Holiday Inn, Willowbrook, IL, 630-325-6400 Super 8, Willowbrook, IL,
630-789-6300

Argonne National Laboratory is served by two major airports, O'Hare and
Midway, and is located 25 miles Southwest of Chicago, just South of
Interstate 55 (Stevenson Expressway). From O'Hare, take 294 South to
I-55 South; exit Lemont Road South to Internationale Pkwy; turn right;
4^th^ building on the right. From Midway, take I-55 South, and proceed
as above.