CANEUS 2009 Online Registration Form

Title
 First Name
Last Name
Job Title
 Company / Organization
Address
 City
State / Province
 Country
Postal / ZIP Code
 Phone
 Fax
Email Address
  
Are you bringing a guest?

Are you a full-time student?

Are you a NASA employee?

Are you part of the press or media?

Which of the events will you be attending? Please indicate if you will bring a guest.

What is your Country of Citizenship?
Do you have special food requirements?
Do you require special assistance to be able to fully participate in the CANEUS 2009 Workshops? Please include a full description, if any.
Which of the Sector Consortia are you interested in participating in? Please indicate your preference from high priority (5 stars) to low priority (1 star).
Small Satellite
Fly-by-Wireless (including Structural Vehicle Health Monitoring)
Aerospace Reliability
Devices (including Optoelectronics, Environmental Monitoring, Bio-Astra, and Harsh Environment Sensors)
Materials (including Micro-Energetics)
CANEUS will compile a list of delegates with names, phone numbers, and email addresses. This information will be made available to registered attendees, in order to facilitate meetings between delegates in advance of the CANEUS 2009 Workshops. Do you wish to be included in this list?
Note: We're very sorry but registration for Non-holders of a valid US Visa is now closed.