CONTRIBUTION FORM

XXXVIIIth RENCONTRES DE MORIOND

http://moriond.in2p3.fr/EW

ELECTROWEAK INTERACTIONS AND UNIFIED THEORIES

Les Arcs, Savoie, France

March 15 - 22, 2003

Mr/Ms Name ........................... First name .........................................

Field of interest...........................................................................

INSTITUTE ADDRESS

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E-mail : ....................................................................

Phone : .............................. Fax ....................................................

I wish to present a contribution:

TITLE

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ABSTRACT

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Please send this form before January 15th 2003

For experimental aspects :

to G. Unal: LAL, Université Paris-Sud, Bât. 200, 91405 Orsay cedex, France.

E-mail : mailto:unal@in2p3.fr

For theoretical aspects :

to J.-M. Frère : Theoretical Physics, ULB, CP 225, Bd du Triomphe, B-1050 Brussels, Belgium.

E-mail : mailto:frere@ulb.ac.be