Please use this registration and hotel reservation form if you are attending the Heads and Chairs meeting ONLY.

If you are attending one of the UCAR Meetings prior to the Heads and Chairs meeting, please register here instead.

Name:
Affiliation:
Address:

Telephone Number:
E-mail:

I am attending the AMS/AGU Heads & Chairs Meeting

Housing Preference:
(Please select a first and second choice below)
First Choice Hotel: The Courtyard by Marriott Best Western Golden Buff Lodge Other hotel I've made my own arrangements
Second Choice Hotel: The Courtyard by Marriott Best Western Golden Buff Lodge Other hotel I've made my own arrangements

Type of room: Select Room Type Single Double

Check in/arrival date (MM/DD/YY): Select Date 10/17/12 10/18/12 Other...(Please note date in comment box below.)
Check out/departure date (MM/DD/YY): Select Date 10/19/12 10/20/12 Other...(please note date in comment box below).