REGISTRATION FORM

From Its Birthplace: A Symposium on the Future of Nuclear Power

March 27 & 28, 2012

Registration Deadline – March 23, 2012

Registration fee of $300 includes:
Entry to all sessions including the student poster session, Tuesday dinner, Wednesday breakfast, and luncheon.The registration desk is located in the Atrium of the William Pitt Union on the University of Pittsburgh campus.

Full time students are eligible to register at a reduced rate of $50. However, seats are limited.  Students should not use this online registration form. If you would like to attend, please contact Kimberly Carson at kac15@pitt.edu.  You must provide your University affiliation and your degree program.  Please provide your student identification at registration on the day of the event.

 

Cancellation Policy

Registrants who are unable to attend are encouraged to send a substitute at no additional charge.  No refunds will be provided after March 12, 2012.

Special Arrrangements

If you require assistance or have dietary restrictions, please contact: Kimberly Carson at kac15@pitt.edu

Paper Check payment Information:

Check made payable to: University of Pittsburgh

Complete and mail this form to:

University of Pittsburgh
Dick Thornburgh Forum for Law and Public Policy
Hillman Library
Dick Thornburgh Room
3960 Forbes Avenue
Pittsburgh, PA 15260

All checks MUST be received by March 23, 2012