Name: _______________________________________________________________________

Badge Name: _________________________________________________________________

Address: ____________________________________________________________________

	 ____________________________________________________________________

	 ____________________________________________________________________

City: ________________  State/Province: ________ Zip/Postal Code: ___________

Country: ____________________________

Phone: 	______________________________    Fax: ______________________________

E-mail:	_____________________________________________________________________

PARTICIPANT REGISTRATION FEES: There are no one-day pro-rated registration fees. Participant registration fees cover admission to all scientific sessions, refreshment breaks, reception, excursion to Fontainebleau, and conference banquet. Please check off the appropriate registration box:

	[  ]  Scientists    		$240
	[  ]  Students			$160
	[  ]  Optional Lunch Plan*    	$ 90

*Five sit-down lunches, complete with beverages. They facilitate conversing with colleagues and avoid delays in Parisian restaurants.

GUEST TICKETS: Registrants may purchase extra reception and conference banquet tickets for accompanying persons:

[  ] Reception	  $35 each x ____ tickets = ____
[  ] Banquet	  $65 each x ____ tickets = ____
[  ] Lunch Plan*  $90 each x ____ tickets = ____

*Five sit-down lunches, complete with beverages. They facilitate conversing with colleagues and avoid delays in Parisian restaurants.

TOTAL AMOUNT ENCLOSED (Registration and Extra Tickets): $________

PAYMENT INFORMATION: Payment in U.S. dollars must accompany this form.

[  ] Check (payable to AGU) OR

[  ] AMEX  		[  ] VISA  		[  ] MASTERCARD

CARDHOLDER'S NAME: _________________________________________________________

CARD NO.: ________________________________________ EXP. DATE:_______________

SIGNATURE: _________________________________________________________________

PLEASE INDICATE ANY SPECIAL REQUESTS, NEEDS, OR RESTRICTIONS, 
SUCH AS DISABILITIES, OR DIETARY RESTRICTIONS.
____________________________________________________________________________

COMPLETE THIS FORM AND RETURN BY SEPTEMBER 18 TO:
AGU-Space Based Radio Chapman, 2000 Florida Ave., NW,
Washingon, DC 20009; Fax: +1-202-328-0566
or E-mail complete registration information to bglenn@agu.org.
NOTE: Fax or e-mail registrations must include credit card payment.