Registration Form

XXXVIIIth RENCONTRES DE MORIOND
Gravitational Waves and Experimental Gravity
March 22-29, 2003, Les Arcs, Savoie, France

Please send this registration form to :
Laurence Moutié
Rencontres de Moriond, BP 33
F-91192 GIF SUR YVETTE CEDEX , France
Phone : (33 1) 69 29 05 50 Fax : (33 1) 69 28 86 59
(or by E-mail to Laurence.Moutie@th.u-psud.fr)


DEADLINE FOR REGISTRATION : DECEMBER 30, 2002
NO HOTEL RESERVATION WILL BE MADE WITHOUT THIS REGISTRATION FORM

Important remark: Talk requests should NOT be made through this administrative form, but sent by email to the program committee, as described in section III.3 of the bulletin (see Contributions).
                         REGISTRATION FORM

PLEASE INDICATE CLEARLY IN CAPITAL LETTERS YOUR NAME, 
FIRST NAME AND COMPLETE ADDRESS  OF YOUR INSTITUTION. 
  THIS INFORMATION WILL APPEAR ON THE PROCEEDINGS

Mr      Ms      Name   .................................................. 
                First Name   ............................................
Professional Status : ...................................................
Date of birth : ..................
Experimentalist          Theorist       Observer    
Field of interest .......................................................
.........................................................................
Collaboration ...........................................................
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INSTITUTION ADDRESS (1)
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Phone :  ...........................  Fax :  .............................
E-mail : .................................................................

MAILING ADDRESS  (2) (If different from institution address)
..........................................................................
..........................................................................
..........................................................................
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Phone :  ...........................  Fax :  .............................
E-mail : .................................................................

Which institution should appear on all the
conference documents ? (1)   or   (2)

HOME ADDRESS
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Will you be accompanied  :      -  By your spouse   :   
Name & First Name ................................................
                                -  By your children :
First Name  .................................   Age    ...............
First Name  .................................   Age    ...............
First Name  .................................   Age    ...............


If you wish to have a  single room, please mention it (suppl. of 161 Euros) 
                Yes             No                   
to share a double room, please specify : 
                Smoker          Non-smoker   

What will be the approximate time of your arrival on Saturday, March 22 :
by train ....................       by car  ..........................            
by plane  in  Geneva .........................

Will you use the conference bus :  
-  On Sat. March 22nd,  from Geneva to Les Arcs at 12h30 :  No      Yes       
                        Number of seats        .....
-  On Sat. March 22nd,  from Geneva to Les Arcs at 13h30 :  No      Yes       
                        Number of seats        .....
-  On Sat. March 29th,  from Les Arcs to Geneva at 12h00 :  No      Yes       
                        Number of seats        .....

DATE  :

SIGNATURE :