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ZEUS  COLLABORATION MEETING 2004 - 18-22 October 2004

 

Department of Physics "Galileo Galilei" Padova  

 

REGISTRATION FORM

Registration  is CLOSED

 

 

Title/Position      

 

First Name(*)

Last Name (*)

 

Institution

Address(*)

E-mail(*)

Phone

fax

 

Arrival Date

 

Departure Date

 

 

Accompanying person

Number

Please fill in the following  field if you wish

to have your Mac Address registered

The Registration Fee is Euros 140,00 for each attendee and it  includes all the coffee breaks from Monday afternoon Oct. 18th until Friday morning  Oct. 22nd, the Collaboration Dinner on Oct. 20th and the Lunches on Tuesday, Wednesday and Thursday.

 

Please notice that Registration Fee can ONLY be accepted in CASH and EUROS and must  be payed  at arrival. Secretaries  will be available  for registration during the full day of Monday Oct. 18th  and the morning of Tuesday Oct. 19th  at the Physics Department "Galileo Galilei"  Via Marzolo, 8.

Receipts will be given for refunding reasons.

The cost of Collaboration  Dinner  for accompanying persons is Euros 55,00.

 

 

 

 

 

Fields marked with (*) are mandatory

 

 

 

INFN Secretariat

 

Sezione di Padova Via  Marzolo, 8

 

35131 Padova

 

Phone .+39 049 8277097  fax +39 049 8756233

 

email: sandra.calore@pd.infn.it