Radiation Protection & Shielding Topical Meeting

Advancements and Applications in Radiation & Shielding

No. Falmouth, Massachusetts - April 21-25, 1996


Last Name_________________________First Name______________MI________
Organization_____________________________________Speaker_____Y_____N
Mailing Address_____________________________________________________
City____________________________________State_______________________
Telephone _________________ Fax______________ E-Mail________________
Spouse/Guest Name (if applicable)___________________________________
                                                   ANS   Non
                                                 Member Member Amount
TECHNICAL REGISTRATION
   Full Meeting                                   $325  $375   _____
  (incl. reception, daily lunch, banquet)
   One Day (Circle One: Mo, Tu, We, Th)           $180  $215   _____
   ANS Student Member (technical sessions only)    N/C

Late Registration Fee if postmarked after 3/20/96 $ 50
WORKSHOPS
   DORT/TORT (minimum 40 participants) - April 21st     $ 95   _____
   FLUKA (minimum 10 participants) - April 21st         $150   _____
SPOUSE/GUEST PROGRAM
   Spouse/Guest Registration                            $ 50   _____
   (includes reception & daily Continental Breakfast)
   Spouse/Guest Banquet                                 $ 45   _____
   Plimouth Plantation-4/22/96 (no lunch)               $ 35   _____
   Cape Cod Tour & Pilgrim Museum-4/23/96 (no lunch)    $ 25   _____
   Tour of Sandwich - 4/24/96
      (lunch @ Daniel Webster Inn)                      $ 30   _____
   Spouse/Guest Special - Registration/All Events       $175   _____

                                                       TOTAL $ _____

    Total payment in U.S. dollars (drawn on a U.S. Bank) enclosed*.
           Cancellation notices received after April 1, 1996
                  will be assessed a $25.00 charge.
                     Substitutions are permitted.
        *No credit cards or company purchase orders accepted.

Please return Registration Form with your check payable to 1996 Topical to:

                       Ms. Maryellen Skerry
                  Yankee Atomic Electric Company
                         580 Main Street
                        Bolton, MA  01740
             Phone (508) 568-2235 * Fax (508) 568-3700
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HOTEL REGISTRATION REQUEST: American Nuclear Society Conference

                            April 21-25, 1996

                         Please print.  Mail to:
                   Sea Crest Resort and Conference Center
                  350 Quaker Road, No. Falmouth, MA 02556
                            (508) 540-9400

      Arrival Day & Date _____________ Departure Day & Date _____________
             Single Occupancy _____ Double Occupancy_____

        Single or Double Occupancy - $77.89 per room per night inclusive
        Triple Occupancy - $86.86 per room per night inclusive
        Quad Occupancy - $99.83 per room per night inclusive

        Please Note: Check in time is 3:00 p.m.
                   Check out time is by 11:00 a.m.

Name____________________________Street______________________________________
City ___________________________State__________Zip______Country_____________
Phone (_____)__________________________ Today's Date _______/_______/_______

Please process required room deposit on my credit card:___MC___VISA___AMEX

Credit Card Number______________________________ Expiration Date___________
Name as it appears on credit card__________________________________________

This form must be received at Sea Crest by Wednesday, March 20, 1996, with 
your check for $71.00 per room, made payable to the Sea Crest or fax with 
credit card information to (508) 540-7602.  If you cancel eight days or more 
prior to arrival, your deposit will be returned to you less $10.00 
processing fee.  If you cancel seven days or less prior to arrival, or if 
you do not arrive on the specified date, your deposit is forfeited and 
reservation canceled for remaining nights.
****************************************************************************


*************************************   
        R. J. Cacciapouti
        Yankee Atomic Electric Co.
        580 Main Street
        Bolton, MA  01740
        
        Phone: (508) 568-2140
        Fax: (508) 568-3700
        e-mail: cacciapo@yankee.com
*************************************