***   REGISTRATION FORM   ***

                  The 5th Compton Symposium
	
           TEACHER WORSKHOP ON ASTRONOMY EDUCATION
	
	
                      to be held at
	
              The Sheraton Harborside Hotel
	
                    Portsmouth, NH
	
	
             Tuesday, September 14, 1999



If you would like to attend, please fill out the form below and return 
(by AUGUST 15) to :

Dr. Mark McConnell
Space Science Center
Morse Hall
University of New Hampshire
Durham, NH   03824
Phone: 603-862-2047 (work) or 603-659-7625 (home)
Fax:   603-862-4685
E-mail: Mark.McConnell@unh.edu



Name: ____________________________________________


Affiliation: _____________________________________


Address: _________________________________________


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Work Phone:   ____________________________________


Home Phone:   ____________________________________


Fax:     _________________________________________


E-mail:  _________________________________________
         
         
Do you wish to attend the workshop? (Y/N) ________