REGISTRATION FORM
 

Name: (First name)________________ (Last name)___________________
Institution:_____________________________________________________
Address:_______________________________________________________
Phone:______________Fax:___________ Email:_______________________

If you would like to make a presentation in the post-symposium workshop
(March 23 and 24, 1999), please indicate the title of your contribution:
_______________________________________________________________

Anticipated day of:
Arrival:_______________
Departure:_____________
Number of nights of stay:________

Check the hotel requested:
in Wako:_______
in Asaka:_______
Type of room requested:________________________________________

Number of accompanying persons:_________
Names of accompanying persons:
(First name)________________ (Last name)___________________
(First name)________________ (Last name)___________________

Notice for invited speakers:
========================
There are only single rooms at the Nishina lodge. Few family apartments may be
available at the International House of RIKEN if reservation is made well in advance.
Therefore you are kindly requested to specify clearly if you prefer an
apartment reservation at the I-House of RIKEN).

The filled-in registration form should be forwarded via email with
the subject "NUCOLEX99" to:

Nguyen Dinh Dang
Email: dang@rikaxp.riken.go.jp

We regret that fax and snail mail for registration are not acceptable.
The dead-line for receiving the registration form is December 31,1998
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