May 31-June 1, 2007


E3SGS: 3rd Town Hall Meeting at Argonne National Laboratory
MAY 31 - JUNE 1, 2007

If you are registering after the 25th, please contact Cheryl Zidel.

Please complete the following form. You must answer all the questions. To submit the form, click the "SUBMIT" button at the bottom of this page. For more information, contact Cheryl Zidel by phone 630-252-7818 or email. This is a secure form but if you are concerned about sending your passport and visa information through this form, please leave that information blank and contact Cheryl to get directions on faxing the appropriate info. Thank you.

* Required

* Required for Non-US citizens

SECTION I: Personal Info
SECTION III: Employer Information
SECTION IV: Contact Information
SECTION V: Identification Info - For Non-US Citizens Only

If you are a United States citizen, please continue to Section VI .


*Non-citizens are required to fill out this section.
Two forms of INS-acceptable documentation are required unless you have Permanent Resident Alien (PRA) status, then only PRA information is required. The preferred forms of identification are PRA, passport, and visa, although other types are accepted.

If you have a Visa, you must fill out this information.

SECTION VI: Workshop Info

* Please supply the dates you will be arriving and departing.

* We need to know what type of transportation you will be using to get to Argonne National Laboratory. If you are taking a taxi cab or limousine, we need to know the name of the company so that we can supply a temporary pass for the driver.