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XXXVIth RENCONTRES DE MORIOND
QCD AND HIGH ENERGY HADRONIC INTERACTIONS
Les Arcs, Savoie, France
March 17-24, 2001
 
Important remark : Talk requests should NOT be made through this
administrative form, but sent by email to a member of the program
committee, as described in section III of the Bulletin.

REGISTRATION FORM
 
PLEASE INDICATE CLEARLY YOUR NAME, FIRST NAME AND
COMPLETE ADDRESS OF YOUR INSTITUTION ON THIS FORM!
 
Mr    Ms      Name   .......................  First Name   ........
Date of birth  ................... Professionnal status  ..........
Experimentalist         Theorist
Collaboration .....................................................
Field of interest
...................................................................
 
HOME INSTITUTION ADDRESS  (1) .....................................
...................................................................
...................................................................
Phone :  ..............................................
Fax :  ................................................
E-mail : ..............................................
 
INSTITUTION MAILING ADDRESS (2)....................................
...................................................................
...................................................................
Phone :  ..............................................
Fax :    ..............................................
E-mail : ..............................................
 
Which institution should appear on all the
conference documents ? 1    or   2
 
HOME ADDRESS :     ................................................
...................................................................
...................................................................
Phone :  ..............................................
Fax :  ................................................
 
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 1 050 FF)            Yes          No
If you wish to share a double room, please specify :
Smoker     Non-smoker 
 
What will be the approximate time of your arrival on
Saturday March, 17th : by train ....... by car  ......  by plane  ......
 
Will you use the conference bus :
On Sat. March 17 from Geneva to Les Arcs at 12 h 30 :
No       Yes        Number of seats  ......
On Sat. March 17 from Geneva to Les Arcs at 13 h 30 :
No       Yes        Number of seats  ......
On Sat. March 24 from Les Arcs to Geneva at 12 h 00 :
No       Yes        Number of seats  ......
 
Date  :  ............................
Signature :
 
 
 
Please return this registration form as soon as possible to :
 
Claude Barthélémy
Rencontres de Moriond
LPT - Batiment 210
Université Paris-Sud
91405 Orsay Cedex
FRANCE
Phone : 33 (0)1 69 15 82 16
Fax : 33 (0)1 69 15 82 87
E-mail : MORIOND@TH.U-PSUD.FR
 
 
DEADLINE FOR REGISTRATION : DECEMBER 30TH, 2000
NO HOTEL RESERVATION WILL BE MADE WITHOUT THIS REGISTRATION FORM
 
 
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