Pierre Auger FD Workshop registration form

Pierre Auger FD Workshop Bad Liebenzell, Germany, August 16 - 20, 2000

Registration Form

Name : __________________________________________________

First Name : ______________________________________________

male [ ] female [ ] Affiliation :
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Address :
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e-mail :
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Fax :
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I will share a twin-bed room, if necessary : yes [ ] no [ ]

I would like to share a room with :
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I have special requests (diets, ...) :
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Other remarks :
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