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51st RENCONTRES DE MORIOND
QCD AND HIGH ENERGY INTERACTIONS
La Thuile, Aosta valley, Italy
March 25th - April 1st, 2017

Contribution Form

Mr  Ms  Name ......................... First Name .................

Institute Address :
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E-mail: .............................
Phone: .............................. Fax: ........................

I wish to present a short contribution :
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ABSTRACT
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Please send this form  before January 10th 2017  to
one of the members of the program committee, with a copy to Bolek Pietrzyk;
(pietrzyk@lapp.in2p3.fr)