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Registration Form

Workshop on Suborbital Platforms and Nanosatellites
April 14-15-16, 2010
Canadian Space Agency
6767 Route de l'Aéroport, Saint-Hubert, Quebec

Registration is now closed, since the workshop
has reached its maximum capacity.

Personal Information

First (Given) Name:

Last (Family) Name:

Organization:

Address:

City :

Province:

Postal code: (ex : J3Y8Y9)

Phone: (ex : 450-123-4567)

Fax: (ex : 450-123-4567)

E-mail:

Confirm e-mail:

Please indicate which day(s) you will attend.

Day 1 - Afternoon; Plenary sessions,
Day 2 -Break-out sessions: Aircraft, Balloons, Sounding Rockets, Nanosatellites
Day 3 - Morning; Plenary sessions

Please indicate by numbering 1 to 4 which of the following themes are most relevant to you and your organization (1 - most relevant, 4 - least relevant).

Aircraft

Balloons

Sounding Rockets

Nanosatellites

Other (Please specify):