BNL / RIKEN BNL Research Center Workshop

High Energy QCD: Beyond The Pomeron

May  21-25, 2001.


Registration Form

Registration deadline is March 25, 2001 !!!


Name (First/Middle Initial/Family):

Organization or Affiliation:

Mailing Address:

Telephone:
Fax:
E-mail address:


Some Personal Questions Required by DOE
Date of Birth:

Place of Birth (City/Country):

Citizenship:

Type of Visa:

Dates of Visit to BNL (even if you do not live onsite):
from to 


ON-SITE HOUSING REQUEST:

We have reserved 30 dorm rooms (25 male and 5 female) for arrival on Sunday, May 20th and departure mid-day Friday, May 25th at a charge of $20.00 per night. There is no other housing available on site during this timeframe.

Yes, I would like to stay in a dorm room on site.
No, I do not wish to reserve a dorm room on site. Instead, I will make my own accommodations in the area. The local hotels are listed at Brookhaven Housing Office. If you have any questions regarding housing please contact Pam Esposito.

If you wish to stay on site, please indicate your preferences below.

Arrival Date:Departure Date:

Dorm:FemaleMale


Further comments about travel and accomodations, if any:

Presentation: Title and Abstract

In order to put together Proceedings for this Workshop, it is necessary for each speaker to supply a few (at most six) of your transparencies as well as typed front page summarizing the principal points of your talk. These few transparencies will be collected at Registration. 
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Back to the workshop website or to the RIKEN BNL home page
Yuri Kovchegov
Last modified: Tue Apr 3 14:47:53 PDT 2001