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    Each participant is requested to pay a $100 registration fee. The funds will be used for the workshop catering (breakfast and refreshments during breaks) and publication of the proceedings. The following Pre-registration form should be sent to: hypjlab99@jlab.org

    HYPJLAB99 REGISTRATION FORM

    International Workshop on Hypernuclear Physics
    with Electromagnetic Probes

    Name (Last, First):_____________________________________

    Title:________________________________________________

    Affiliation:____________________________________________

    Mailing address:_______________________________________

    ___________________________________________________

    ___________________________________________________

    Country:_____________________________________________

    Phone:_______________________________________________

    Telefax:______________________________________________

    E-Mail address:________________________________________

    Date/Time of Arrival:____________________________________

    Date/Time of Departure:__________________________________

    Lodging Arrangement:

      (1) No need (Arrange by myself) _________________

      (2) Reserve Radison Hotel room _________________

        Would you mind sharing a room? _________________

        If no, do you want to select a person whom you know to share the room? _________________

        If no, please give gender if sharing a room? _________________

      (3) If you prefer the Jlab residence facility, you will need to arrange transportation between Jlab and Hampton University and will need a major credit card.

    Will you use your own car to attend the workshop? _________________

    Will you attend the reception? _________________

    If you have any requests or questions concerning the workshop, please explain below.

    ____________________________________________________________

    ____________________________________________________________

    ____________________________________________________________

     




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