U.S. Credit Card payment: please confirm your information and then continue to the secure payment page

Non-U.S. Credit Card payment: please print this page and fax it along with your credit card information to 1-650-926-4695

Check payment: Please print this page and mail it with your check to the listed address on the page.

< Return to previous page to make changes in this form



a.) If you are paying with a non-US issued credit card you may encounter technical difficulties on the subsequent secure payment page. If your card does not go through the first time please print this page and fax your information to 1-650-926-4695

b.)If you need to make a wire transfer please email fel2005@slac.stanford.edu for instructions, you do not need to continue to the secure payment page.

c.) if you are a SLAC employee and wish to transfer funds internally or use STAP funds for your registration please continue to the secure payment page to complete paying for just your lunches and/or banquet. When you finish that payment you can download and complete this Excel sheet which will pay for your registration. You will get a link to this spreadsheet again after completing any secure payments. If you are not purchasing any lunches or the banquet you can stop here and just fill out the spread sheet.
*First Name:
*Last Name:
*Institution: 
*Address 1:
*City:   State:  
  Zip Code:   Country:
  Phone:   Fax:
*E-mail:

FEL 2005 Conference Registration

The registration fee includes meeting materials, invited talks, and refreshments during the morning and afternoon breaks. Lunch and dinner must be purchased separately. Receptions are included in registration fees, courtesy of exhibitors and sponsors.

Registration  ($425) as of July 1, 2005



SLAC Employee STAP or internal funds Registration  ($375) before June 30, 2005
Stanford University Campus Account information for internal transfers
Project #
Task #
Award #
 

Speaker Registration  (fee waived)

Box Lunches

Lunches consist of a sandwich, salad, fruit, chips, drink, and dessert.

Lunch, Monday August 22  ($12)

Lunch, Tuesday August 23  ($12)

Lunch, Wednesday August 24 ($12)

Lunch, Thursday August 25 ($12)

Lunch, Friday August 26 ($12)


Conference Dinner and Excursion to Monterey

Conference Attendee Dinner & Excursion
Wednesday August 24 ($35 per person)

Companion Dinner & Excursion
Wednesday August 24 ($100 per person)


I intend to pay by:
Credit Card:
Check:
Wire Transfer:
Use interal funds or STAP funds for registration:


For all payments by check, please be sure to include name of registrant with the check so we can match registration forms and checks appropriately. Checks must drawn against a U.S. bank, made payable to Stanford University, and mailed to:

Stephanie Carlson
SLAC, MS 69
2575 Sand Hill Road
Menlo Park, CA 94025
United States

Comments or Questions:  


If you are paying with a non-US issued credit card you may encounter techinical difficulties on the subsequent secure payment page. If your card does not go through the first time please notify us so we can accomodate you another way. fel2005@slac.stanford.edu


If you are faxing your credit card information please fill in this area and fax it to 1-650-926-4695.

Name on credit card:__________________________________________

Credit Card #:________________________________________________

Expiration date:_____________

Credit Card billing address if different than address listed above:




Last modified: August 21 2005.