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XXXVIIIth RENCONTRES DE MORIOND
QCD AND HIGH ENERGY HADRONIC INTERACTIONS
Les Arcs, Savoie, France
March 22-29, 2003

REGISTRATION FORM

Important remark : Talk requests should NOT be made through this administrative form, but sent by email to a member of the program committee with a copy to Etienne Augé, as described in section III.3 of the Bulletin. 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 161 Euros) 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, 22nd : by train ....... by car ...... by plane ...... Will you use the conference bus : On Sat. March 22 from Geneva to Les Arcs at 12 h 30 : No Yes Number of seats ...... On Sat. March 22 from Geneva to Les Arcs at 13 h 30 : No Yes Number of seats ...... On Sat. March 29 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, 2002 NO HOTEL RESERVATION WILL BE MADE WITHOUT THIS REGISTRATION FORM ==================================================================