CONTRIBUTION FORM

 

XXXIXth RENCONTRES DE MORIOND

http://moriond.in2p3.fr/EW/2004/

ELECTROWEAK INTERACTIONS AND UNIFIED THEORIES

 La Thuile, Aosta Valley, France                                                                                               

 March 21 - 28, 2004

 

CONTRIBUTION FORM

 

 

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

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

 

INSTITUTE ADDRESS

........................................................................................................................

........................................................................................................................

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

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

I wish to present a contribution:

TITLE

................................................................................................................................................................

ABSTRACT

................................................................................................................................................................

................................................................................................................................................................

................................................................................................................................................................

................................................................................................................................................................

................................................................................................................................................................

................................................................................................................................................................

................................................................................................................................................................

................................................................................................................................................................

Please send this form before January 15th 2004

For experimental aspects :

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

E-mail : unal@in2p3.fr

For theoretical aspects :

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

E-mail : frere@ulb.ac.be