Invitation Letter Request Form

for SPIE Laser Damage Conference

Return to: Pat Wight, patw@spie.org as soon as possible
SPIE Conference Programs & Proceedings Dept.
PO Box 10, Bellingham, WA 98227
Or Fax to: 1 360 647 1445

Please tab through the form and add your personal information for all categories or print clearly:
One form per person please. Requests may take up to 15 business days to process.
Personal information is required for security clearance to NIST facility for all international attendees.
PRESENTATION INFORMATION
Conference Title

SPIE Laser Damage Symposium XLV: Annual Symposium on Optical Materials for High Power Lasers
Conference Dates Conference Location

22-25 September 2013 Boulder, Colorado, USA

SPIE Paper Number SPIE Paper Title

           

PERSONAL INFORMATION
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Gender (male or female) Date of Birth City of Birth Country of Birth
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Citizenship Country of Residence Title/Position

                 

Countries of Dual Citizenship (if applicable) U.S. Permanent Resident?
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No
            Any additional information for delivery
     
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Nearest USA Consulate Fax Number