The number of attendees at this Workshop is strictly limited. Registration will be on a first come/first served basis. Please pre-register early to assure a space. Workshop on Electromagnetic Crystal Structures, Design, Synthesis, and Applications January 6 - 8, 1999, Surf & Sand Hotel, Laguna Beach, California 1999 WECSdsap Workshop Registration Form January 6 - 8, 1999 PRE-REGISTRATION DEADLINE: DECEMBER 8, 1998 Name (First, Middle Initial, Last): Institution: Address: City: State: Postal Code: Country (other than USA): Email Network/Address: Phone: Fax: Registration to the 1999 WECSdsap Workshop includes attendance at the technical sessions, coffee breaks, lunches, the Welcome Reception and the Banquet. Registration fees are as follows: Prior to December 8, 1998: $365.00 On-Site: $405.00 Shuttle Reservations from John Wayne Airport: $10 Shuttle Reservations from Los Angeles Int'l Airport: $20 Check off one: 3:00 pm - John Wayne 4:00 pm - John Wayne 5:00 pm - John Wayne 6:00 pm - John Wayne 2:00 pm - LAX 4:00 pm - LAX 6:00 pm - LAX Total: $ Please Make Checks payable to WECSdsap. Registration is not complete until payment is received. Money Transfer: Bank account number: 04436-09230 Routing number: 121000358 Bank account name: California Institute of Technology Commercial Account Bank address: Bank of America. L.A.Main 525 S. Flower Street Los Angeles, CA 90071 Refund policy for Pre-registration: Registration cancellation and requests for refunds must be in writing and received no later than December 18, 1998. There will be a $25.00 processing charge. No refunds will be issued after December 18, 1998. Paste this registration form into an e-mail to janield@ea.ucla.edu. or send it by FAX to: (310) 206-4685