Annual APS March Meeting 2015 REGISTRATION FORM MARCH 2-6, 2015 San Antonio, Texas FAX: Please select one of the following methods to register: INTERNET: Go to http://www.aps.org/meetings/march. FAX: Complete this form and fax to 301-209-3652. MAIL: Complete this form and mail with your check to APS Meetings Dept, One Physics Ellipse, College Park, MD 20740. NOTE: If you are not an APS member, you can join at the same time you register and save on registration fees. 301-209-3652 Please print all information. The information will be used to prepare your meeting badge. Are you an APS member? No Yes If yes, what is your APS Membership # I am joining now - completed membership form and payment enclosed with registration First Name I require special assistance. Last/Sur Name Institution Mailing Address City State/Province Zip/Postal Code Day Phone Number Fax Email Country PART 1: REGISTRATION (Join APS and save on registration fees.) Do not use this form to register on-site. EARLY BIRD Received on/before Jan. 2 LATE REGISTRATION Received between Jan. 3 - 30 ON-SITE After Jan. 30 you must register on site *One-day registrants, please check one: Monday Full Member Full Registration One Day* $375 $250 $435 $290 $510 $315 Tuesday Junior Member Full Registration One Day* $220 $165 $250 $190 $285 $205 Thursday Nonmember Rates Full Registration One Day* $540 $315 $605 $340 $685 $375 Grad Student** Retired Undergrad Member** $130 $150 $25 $150 $175 $25 $185 $195 $25 PLEASE CHECK ONE: GO GREEN! GO GREEN! Mobile App ONLY Wednesday Friday Mobile App ONLY for one-day attendees **Student nonmembers must pay nonmember rates, unless joining at the same time. TOTAL AMOUNT PART 1: Request Paper Bulletin Select the Go Green option when you register to save paper and opt out of the printed bulletin. The full scientific program information will be available in the mobile app and online via app store. The bulletin will not be available if not selected. PART 2: PRE-MEETING PROGRAMS - full descriptions at http://www.aps.org/meetings/march T2. Quantum Annealing T3. The Physics of Climate Change T4. Iridiates $100 Students/Post Docs $125 $125 $125 P.M. Tutorials (Sunday, March 1, 1:30pm-5:30pm) T5. Quantum Gasses for Simulation T6. Resources for Computational Materials Science $250 Non-Members Students DPOLY Short Course: Glasses (Sat. – Sun., Feb 28-Mar 1) $150 APS Member The glass transition in polymers, small molecule glass formers, and colloids: Recent advances in theory, experiment, and open challenges. A.M. Tutorials (Sunday, March 1, 8:30am-12:30pm) $125 $125 $65 $65 $65 $65 $65 Please Note: DPOLY Short Course and Tutorials are available for preregistration only - you will not be able to register for these on-site. TOTAL AMOUNT PART 2: PART 3: MEMBERSHIP DUES TOTAL AMOUNT PART 3: If you are joining in addition to registering, complete the membership form. PART 4: PAYMENT INFORMATION (purchase orders and wire transfers NOT accepted) Make checks payable to APS. Personal Check Credit Card # Cardholder Phone # Business/Institution Check Exp. Credit Card CVV Amex Mastercard Visa Diners Club Discover Signature GRAND TOTAL: If paying by credit card, you may fax this form with credit card information to: 301-209-3652. Please do not fax and mail your registration, as you will be billed twice. If joining and registering, be sure to fax both registration form and membership form. CANCELLATIONS must be received in writing by Friday, February 27, 2015. All cancellations will be assessed a $50 cancellation fee regardless of the reason for cancelling.