From Here to Pluto-Charon: A New Horizons PKB Mission Workshop
                             Registration Payment 

Please print out this form, fill out the information, and send it along with
your payment as described below.  Acknowledgement of payment will be sent by
e-mail, and a paper copy will be in your registration packet.  Let us know
if you need a receipt sent earlier.


Name: _______________________    e-mail:  _______________________


At which hotel will you be staying? ______________________________

Meeting registration fee: [$25].....$_____

Payment method (circle one):   Check    Cash (day of meeting)


*** If payment is by check (in US dollars, please, payable to "Southwest
    Research Institute"), mail it along with this completed registration 
    form to the address given below.


Please mail or fax this completed form with your payment to:

      Leslie Young
      Southwest Research Institute
      #426
      1050 Walnut Street                  Fax:  1-(303)-546-9687
      Boulder, CO 80302                e-mail:  pkbworkshop@boulder.swri.edu 
      USA

or pay at the meeting.