A. Meeting Registration
Name:
Affiliation:
Select one:   Yes, I will attend in my capacity of:   Member's Representative   Member's Representative substitute* for   Academic Affiliate Representative   Academic Affiliate Representative substitute* for   University Relations Committee Member No, I will not be able to attend * Substitutes must be officially appointed by the CEO of the institution you represent, and a letter to this effect should be received in the UCAR Corporate Affairs office (click here for a sample letter) before the meeting.
Address:
Telephone Number:
FAX:
E-mail:
Arrival: 10/06/01 10/07/01 10/08/01 10/9/01 10/10/01
Departure: 10/09/01 10/10/01 10/11/01 10/12/01
B. Hotel Reservation
The Boulder Broker Inn 555 30th Street Boulder, CO 80303-2397 Toll-Free: 1800.338.5407 Phone: 303.444.3330 Fax: 303.444.6444   Rates: $90/flat rate. Includes full breakfast (available Monday through Friday mornings only). All reservations are guaranteed for late arrival. There is a cancellation deadline of 4:00 pm on date of arrival.
Type of room: Single Double
Hotel Check-in date (MM/DD/YY): 10/06/01 10/07/01 10/08/01 10/09/01 10/10/01
Hotel Check-out date (MM/DD/YY): 10/09/01 10/10/01 10/11/01 10/12/01
Non-smoking: Smoking:
Additional comments/special instructions:
Let us know where you're staying if other than the Broker:
Please call or email Annette Andersen-Vie--(303) 497-1690; andersen@ucar.edu or Susan Warner--(303) 497-1654; swarner@ucar.edu for further information.