MIT's Building 20: The Magical Incubator 1943 - 1998

Commemoration

Thursday, March 26
Number attending  Welcome Reception _____
Friday, March 27
Number attending  Symposium _____;   Lunch _____;   Gala Dinner _____
     
Vegetarian or other dietary needs?  Use the comment space provided below.
-----------------------------------------------------------------------------
Registration Fees

$100 per person before March 1 ($125 after March 1)                __________
$50 per person, spouse/guest                                       __________
$20 per person, MIT student (without dinner)                       __________

__ I authorize MIT to charge my registration fee to the following credit card

__ MC  __ VISA  __ Amex     Card # __________________________________________

Exp. Date ________________  Signature _______________________________________

Amount Enclosed  $________________ (Please make checks payable to MIT)
-----------------------------------------------------------------------------

_____________________________________________________________________________
 Name (please print)              MIT Graduation Year         MIT Course/Lab

_____________________________________________________________________________
 Name of Spouse/Guest

_____________________________________________________________________________
 Home Address and Phone

_____________________________________________________________________________


_____________________________________________________________________________
 Business Address and Phone

_____________________________________________________________________________
 Is this a new address? __Yes  __No   Email address

_____________________________________________________________________________
 Comments (for example, dietary restrictions)

Print this page, fill it out, and mail to:

Ms. Heidi Ganss
Room 10-110
Massachusetts Institute of Technology
77 Massachusetts Avenue
Cambridge, MA 02139-4307

If you prefer, you can register by telephone by calling Ms. Vera Sayzew, (617) 253-4624.

After registering, why not share your favorite story, anecdote, or reminiscence about Building 20 with others? Reminiscence submission form