This form should be completed by the student's instructor
Instructors must attend an orientation at the Satellites & Education Conference
prior to registering any students

Complete the this registration form carefully and completely.
Please submit your registration only once.
If some resulting information is incomplete you will be contacted.
Lines marked (*) will be on your badge.
The badge issued to each registrant is the ticket for admission to all sessions, exhibits and events.

Each M.Y. S.P.A.C.E. student and teacher should be registered separately BY THE TEACHER.

Are you

Contact Information

*First Name *Last Name

*Title *Organization

Street Address

Address (cont.)

City State/Province Zip/Postal Code

Country Phone

E-mail

Special Assistance Needed	What kind of special assistance do you require? Please be specific
If this is a student enter the teacher's name
Teacher's email
Registration Fees
Additional Items	# Attending Friday Night Banquet
	Steak Dinner Vegetarian Dinner

Double check your information before clicking "Submit".
If you have to come back to make a correction after submitting, this registration will then be sent twice.

*First Name	*Last Name
*Title	*Organization
Street Address
Address (cont.)
City	State/Province Zip/Postal Code
Country	Phone
E-mail

This form should be completed by the student's instructor Instructors must attend an orientation at the Satellites & Education Conference prior to registering any students

This form should be completed by the student's instructor
Instructors must attend an orientation at the Satellites & Education Conference
prior to registering any students