NAME_________________________________________________________________________ ADDRESS______________________________________________________________________ CITY_________________________STATE______ZIP_________TELEPHONE(___)___________ COUNTRY OF CITIZENSHIP___________________________AGE: (circle) 15 16 17 18 19 E-MAIL ADDRESS_____________________________________________SEX: (circle) M F T-SHIRTS - QUANTITY DESIRED: MEDIUM _____ LARGE _____ X-LARGE _____ TOTAL SHIRTS _____ x $16.00 = $_____ PRINTED COPY OF PRESENTATION _____ x $ 7.00 = $_____ REGISTRATION $110.00 EARLY REGISTRATION BONUS - DEDUCT $20 IF REGISTRATION WILL BE POSTMARKED BY JANUARY 31 $_____ TOTAL ENCLOSED: $_____ To help us divide the companies more fairly, please rate your abilities honestly in the following two areas - circle one for each: Freehand artistic ability................Novice Intermediate Expert Ability to use a personal computer.......Novice Intermediate Expert
If you write your e-mail address in the space provided
above we will send you an e-mail message as soon as we receive
your registration. You will still receive a packet of information
via regular mail after your registration is processed.
___ <- Check here if you have enclosed more than one registration in the envelope in order
to be in the same company. In the space below, write the names of the other person(s)
whose registration form(s) are enclosed with yours.
Requests for groups larger than four will not be honored.
1. Participation is limited to the first 150 people who register,
so don't delay - send in your registration to guarantee yourself
a space!
2. Because JPL is a U.S. government facility, we must know in
advance the country of citizenship of each participant. Please
be sure to fill this in on the registration form. Students who are
not US Citizens or Permanent Residents can participate in the competition,
but your registration must be postmarked by March 16, 2004.
3. If you have a friend who would be interested in attending Spaceset
with you, you can be in the same company. Simply follow the instructions
at the bottom of the registration form and mail in all your registrations
in the same envelope. We will accept a maximum of four registrations
together for the same company.
4. We regret that we do not have the capability of accepting registrations
online. You must mail your registrations by U.S. mail.
Spaceset 2004 commemorative T-shirts will be available for $16 each. They are available in Medium, Large, and X-Large. To be sure that we have the right sizes available to pick up at the event, T-shirts must be ordered at the time of registration. If you would like to have a printed copy of the presentation your Spaceset company makes, add $7 to your registration fee to cover photocopying and postage, and we will get a copy sent to you promptly after Spaceset.