**7^th^ US Congress on Computational Mechanics**

\~ REGISTRATION FORM \~

(FAX FORM: 505-844-8081 or 844-8251)

Name:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Department:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Affiliation:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Address:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

State/Providence\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Zip:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Email:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Phone\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Fax:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**[STUDENT INFORMATION:]{.underline}**

Students must be enrolled in a college or university at the time of the
conference. Please provide student ID number and affiliation below. You
must also fax a copy of your student ID to the conference organizers to
receive discounted student rates. **FAX: 505-844-8081**

Student ID#:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
College/University:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**[REGISTRATION FEES:]{.underline}**

**Student Regular TOTALS:**

Early Congress Registration \_\_ \$100 \_\_ \$375 \_\_\_\_\_\_\_\_

(Registration before June 26, 2003)

Regular Congress Registration \_\_ \$130 \_\_ \$475 \_\_\_\_\_\_\_\_

(Registration after June 26, 2003)

**Dinner Banquet & Awards, Tuesday July 29, 6 pm**

(Included in registration fee) ATTENDING: \_\_ Yes \_\_ No

Guest for Dinner \_\_ \# Guests \_\_ \$50 ea \_\_\_\_\_\_\_\_

Dietary
Restrictions:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

# Pre-Congress Short Courses, Sunday, July 27

V&V Short Course (1-6pm) \_\_ \$200 \_\_\_\_\_\_\_\_

Mesh Generation Course (8am-Noon) \_\_ \$175 \_\_\_\_\_\_\_\_

# Post-Congress Short Courses, Thursday, July 31

Verification Code Course (8:30am-12:30pm) \_\_ \$175 \_\_\_\_\_\_\_\_

Multiscale Multiphysics Course (9am-2pm) \_\_ \$150 \_\_\_\_\_\_\_\_

**Invited Guest Tour, Tuesday, July 29 (12-5pm)**

(Not included in registration fee) \_\_ \# Guests \_\_ \$40 ea
\_\_\_\_\_\_\_

Guest(s) Name:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(Including yourself and others who may attend)

**TOTAL: \_\_\_\_\_\_\_\_\_**

**[PAYMENT BY CREDIT CARD]{.underline}:**

\_\_\_VISA \_\_\_Master Card \_\_\_American Express **(Check method of
payment)**

Credit Card
#:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Expiration Date: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(required) (required)

Name on Card:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Signature\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(print name) (required)

**FAX REGISTRATION FORM TO: 505-844-8081 or 844-8251**

**[PAYMENT BY CHECK OR MONEY ORDER (in U.S. Funds, no cash
accepted)]{.underline}**

Payable to: Sandia National Laboratories, USNCCM

Mail payment with registration form to:

Sandia National Laboratories

Attn: Tammy Eldred, Conference Coordinator

PO Box 5800, MS0833

Albuquerque, NM 87185-0833