REGISTRATION FORM

Workshop on the Next Generation U.S. Underground Science Facility

June 12-14, 2000

The WIPP Site at Carlsbad, New Mexico

Please complete and return (mail, fax or e-mail) this form to:

Patsy Florez, Conference Coordinator
CAO Technical Assistance Contractor
PO Box 1270
Carlsbad, NM 88221-1270

florezp@wipp.ws
fax: 505.234.3196

Technical agenda questions should be directed to: rnelson@wipp.ws

Name:____________________________________

Title:______________________________________

Affiliation:__________________________________

Address:__________________________________

City, State, Country:__________________________

ZIP or Postal Code:__________________________

Telephone:_________________________________

Fax:______________________________________

e-mail:____________________________________

Information for Name Badges (Give name/other information as it should appear):

__________________________________________


There is no registration fee for participation at the conference.
Please register by Friday, June 2, 2000   


Non U.S. Citizens:

While the WIPP facility is not subject to many of the security clearance restrictions placed on some other DOE facilities, there are some national security processes that must be followed for visits to WIPP made by non-US citizens (foreign nationals).  These consist of a simple embassy check and require that foreign national visitors provide additional citizenship information 45 days in advance of the visit Foreign national visitors who are participating in the WIPP facility tour MUST register by April 26, 2000.

Non-U.S. citizens do not need to provide special information to attend the workshop sessions.  The additional citizenship information is necessary only to be able to participate in the tour of the WIPP facility.