50th AAS Robert H. Goddard
Memorial Symposium

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March 27-29, 2012

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Greenbelt Marriott
6400 Ivy Lane
Greenbelt, Maryland
301-441-3700
http://marriott.com/property/propertyPage/WASGB

Attendees are urged to register using the online form below. If paying by credit card, online registration is all that is required. If paying by check or purchase order, please submit online registration, then print out completed form and mail with your payment to:

American Astronautical Society
6352 Rolling Mill Place, Suite 102
Springfield, VA 22152-2370
Phone: 703-866-0020 Fax: 703-866-3526
aas@astronautical.org

Registrations may not be shared, but substitutions are permitted.

CANCELLATION POLICY: By submitting an online registration, you agree to pay the full fee. Should you be unable to attend, you will be charged an $80 cancellation fee (either billed or subtracted from the refunded fee) if you notify the AAS Business Office no later than Friday, March 23, 2012. If you do not cancel by March 23, and fail to attend, you will be charged the full fee.

Click here if you are a Goddard Space Flight Center employee.
Title
(Mr./Mrs./Ms./Dr./Rank)
Information for name badge
First Name
Last Name
Company
Information for registration
Address
Mail Code
City
State
Zip Code
Country
Phone (with area code)
Email
Full Registration
 Includes all sessions, continental breakfasts, refreshment breaks, two luncheons and three receptions.
Cost Subtotal
Member - $500
Individual member of AAS or designated AAS corporate representative. Note: Membership must be in good standing at the time of the event; call 703-866-0020 to check status.
Renewing Member - $600
Non-Member - $650 (see footnote *)
U.S. Government/Academia - $350


One Day Only Member - $250
Please designate:
Wednesday   Thursday
One Day Only Non-Member - $325
Please designate:
Wednesday   Thursday


Special Registration
 Includes all sessions, continental breakfasts, refreshment breaks and
receptions. (Luncheon tickets may be purchased separately.)
Cost Subtotal
Student (full-time) / Teacher (K-12)
Name of School:
Lunch :  Wed - $40 Thurs - $40
Subtotal :
Retired
(over 65 and no longer working full-time)
Lunch :  Wed - $40 Thurs - $40
Subtotal :
Press (with credentials)
Lunch :  Wed - $40 Thurs - $40
Subtotal :

* If you are not a member of AAS, check here to join AAS and register at the member rate. The $100 annual membership fee will be added to your total cost, saving you $50 compared to paying the non-member rate.
Total Cost   

Methods of Payment
Credit Card using PayPal (you do not have to be a PayPal member)
Check
Purchase Order

By checking this box you have read and agree to the cancellation policy (located at the top of this form).