Your Name: Email:

Hint 1: If your system does not respond to the backspace or delete key, try Control-H. Hint 2: If your browser does not automatically word-wrap (that is, if your typing goes off the page), press return or enter to start a new line. Your Title(s): Organization(s): Preferred Mailing Address: Your Phone and Fax Numbers: Do you plan to use the free hotel-Rice shuttle? Special Dietary Requirements: The meeting days follow (please put an x to designate the actual days that you will be attending): [ ] Wednesday, April 8 [ ] Thursday, April 9 [ ] Friday, April 10 Please include any questions or comments here: Thank you for your registration. As your confirmation, you will receive a copy of this registration at the email address you provided above. Please direct questions about the conference to Theresa Chatman, CRPC Manager of Outreach Programs, at tlc@rice.edu, 713/285-5180 (phone), or 713/285-5136 (fax).