38th AEROSPACE MECHANISMS SYMPOSIUM REGISTRATION CARD Early registration is requested. Please type or print.

Registrant Name: __________________________________ Affiliation: __________________________________ Mailing Address: __________________________________ ______________________________fax: _____________ Telephone: _________________ Citizenship: ____________ If non-US citizen, are you a US Permanent Resident? _______ e-mail: __________________________________ $395 Registration fee enclosed ($495 after April 28th). Educators/Student/Retiree fee of $250 enclosed . ($495 after April 28th) _______________ ______________________________ __________ Credit Card Type Credit Card Number Exp. Date _____________________________________ Signature

NASA Langely ResearchCenter Tour ____ Attendee will attend. ____ Guest(s) will attend. Wednesday reception at the Marriott ____ Attendee will attend. ____ Guest(s) will attend ($25).  Thursday Banquet at the Jamestown Settlement ____ Attendee will attend. ____ Guest(s) will attend ($45; $50 after April 28th).  If paying by check, make check/money order (drawn only from US bank in US dollars) payable to: MEA - 38th Aerospace Mechanisms Symposium.

Please return form to: Tammy Spellman NASA Langley Research Center Mail Stop 433 Hampton, VA 23681 Phone: (757)864-6026 FAX: (757)864-7798 email: Tammy.L.Spellman@nasa.gov