CONFERENCE REGISTRATION FORM
Nineteenth Annual Michigan Space Grant Consortium Fall Conference
Saturday, October 31, 2015
First and Last Name: *
***Faculty or Staff Title (Professor, Associate Professor, Research Scientist, etc.).
If you are a student, are you a graduate or undergraduate student?
University of Michigan
Eastern Michigan University
Grand Valley State University
Michigan State University
Michigan Technological University
Saginaw Valley State University
Wayne State University
Western Michigan University
If you chose "other institution" above, please list institution:
Address 1: *
I plan to attend the entire conference and will require lunch:
I Require A Vegetarian Lunch:
If Vegetarian, Lunch Requested:
No Dairy (vegan)
I will be making a presentation at the conference.
I have reviewed the sample abstract to use as a guide while I prepare my conference abstract (abstracts can be no longer than one page with Times Font/Size 12 with one-inch margins).
Note: Your Abstract
be submitted now. Please upload (below):
Upload Your Abstract (for those presenting):
Note: .DOC or .DOCX only
If you are presenting, which do you prefer?:
A Poster Presentation
Important Note: If you are selected to make a presentation, you must
bring a memory stick (which contains your presentation), for David McLean,
Conference Systems Administrator.
My Presentation Will Be On A (choose one):
Use The Conference Provided Laptop
Bring My Own Laptop
* = Input is required