BNL Nuclear Theory Workshop

RHIC and the Quark Gluon Plasma: Kay Kay Gee Day

Oct. 23, 1998

Registration Form


Name (First/Middle Initial/Family):

Title: Mr. Ms. Dr. Prof.
Organization or Affiliation:

Mailing Address:

Telephone: Fax:
E-mail address:

Arrival information:
Date: Time:
Airline: Flight Number: Airport:
Departure information:
Date: Time:
Airline: Flight Number: Airport:

Please make limo reservations for arrival and departure: Yes No

(Please note: we need COMPLETE flight info in order to make a limo reservation; airline, flight number, and estimated time of arrival.)

On-Site Housing Request:

Housing in a dorm room will be provided by BNL NT to all parties interested in participating in the workshop.

Arrival Date: Departure Date:

Dorm: Female Male

I prefer to make my own reservation at a hotel: Yes No


Further comments about travel and accomodations, if any:


I am attending the dinner that evening: Yes No
.

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The last update was on February 5, 1998.