UCAR Annual Meetings and Hotel Registration

Name:
Affiliation:
Address:

Telephone Number:
Cell Phone Number (in case of any flight schedule changes):
E-mail:

Please mark all that apply:
Yes, I will attend in my capacity as (a/an):
Member Representative
Member Representative substitute* for
Academic Affiliate
Academic Affiliate substitute* for
President’s Advisory Committee on University Relations (PACUR) Member
Faculty Guest
UCAR/NCAR Staff

* 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 President's Office (click here for a sample letter) before the meeting. Please note that we MUST receive this letter before you will be allowed to vote or be reimbursed for your travel expenses.

I will be attending:
Please mark all that apply:
UCAR Members Meeting - Tuesday & Wednesday 16-17 Oct.
Academic Affiliates Meeting - Wednesday 17 Oct.  3:30pm-7pm
PACUR Meeting - Wednesday 17 Oct. 3:30pm-7pm
Field Trip to NCAR-Wyoming Supercomputing Center (NWSC) - Tuesday 16 Oct. 7am-noon - THE FIELD TRIP IS FULL AT THIS TIME.
Luncheon with PACUR - Tuesday 16 Oct noon-1pm
Annual Meeting Reception - Tuesday 16 Oct. 5:30pm
AMS/AGU Heads & Chairs Meeting - Thursday & Friday 18-19 Oct.

Are you staying in Boulder after the meeting(s) you are attending? If so, please indicate if it's for UCAR/NCAR business or personal.
Please explain:

Hotel Registration:
(Please note that reservations will be made through our office)
Please watch your email inbox for your hotel confirmation. We will email you with a confirmation number about two weeks prior to the meetings.

Housing Preference:

(Please select a first and second choice below.)
Please Note: The Residence Inn and the Homewood Suites are currently full at this time.

These are on a first come, first served basis.  We will do our best to accommodate your request until the rooming block for those hotels is full.  After that, we will place you in the next available hotel.

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 Type of Room Double Single
Check in/arrival date (MM/DD/YY): Select Date 10/14/12 10/15/12 10/16/12 Other...(Please note date in comment box below.)
Check out/departure date (MM/DD/YY): Select Date 10/17/12 10/18/12 10/19/12 10/20/12 Other...(please note date in comment box below).

(Please make sure the dates above are the same dates you enter on the Airline Reservations form.)

Additional comments/special instructions: