Workshop on Heavy Quark Physics in Nucleus-Nucleus Collisions

Event Registration Form:

Name:

 

Affiliation:

 

Hotel Choice:
Yes, I request a room at the UCLA Guest House ($139 per night)

 

Arrival date:_____________Departure Date:________________

                                    You will be notified if a room is reserved for you.

                 

I will make hotel arrangement myself    

 

Registration Fee: $100

 

Yes, I will pay cash upon registration at the workshop

I will mail a personal check (payable to U.C. Regents) to workshop coordinator

Ms. Mary Jo Robertson
Department of Physics and Astronomy
UCLA
P.O. Box 951547
Los Angeles, CA 90095-1547

 

Additional Workshop dinner ticket ($40 each) 

 

Workshop dinner choices:
Fish                           Meat             Poultry         Vegetarian

All workshop talks will be invited. But we will select some talks from contributions. If you wish to submit a talk proposal:        

 

Title:

 

Abstract:

 

Presented by: