CONFERENCE REGISTRATION FORM
Seventeenth Annual Michigan Space Grant Consortium Fall Conference
Saturday, November 2, 2013
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
Central Michigan University
Eastern Michigan University
Grand Valley State University
Michigan State University
Michigan Technological University
Saginaw Valley State University
Wayne State University
Western Michigan University
Other (please list below)
If you chose "other institution" above, please list institution:
Email Address: *
I plan to attend the entire conference and will require lunch:
I Require A Vegetarian Lunch:
If Vegetarian Lunch Requested:
No Dairy (Vegan)
I am not attending the entire conference and do not require lunch:
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):
Bring My Own Laptop
Use The Conference Provided Laptop
* = Input is required