Appendix: Pre-Registration Form for the IRAM Interferometry School

(Grenoble area, September 29th to October 6th, 2002)

Interested scientists should complete the pre-registration form and send it to:


Mrs. Cathy Berjaud
Scientific Secretariat
IRAM
300, rue de la Piscine
F-38406 Saint Martin d'Hères
France
FAX: +33 476 51 59 38  


You may also register by E-Mail to berjaud@iram.fr.
Please specify ``Interferometry School 2002'' in the subject field.


 


Name:
Institute:
E-Mail:

$\bullet$	I am interested in the IRAM Interferometry
	School 2002 and wish to receive further information:	YES $\bigcirc$    NO $\bigcirc$
$\bullet$	I would like to present a poster:	YES $\bigcirc$    NO $\bigcirc$
$\bullet$	I need financial support and add a CV and a reference:	YES $\bigcirc$    NO $\bigcirc$
$\bullet$	Lodging preferences:
	Single room (might include a personal financial contribution)	$\bigcirc$
	or a shared double room	$\bigcirc$

 






If you would like to present a poster, please fill in the part below:


Poster Title:
Author(s):
Abstract (not more than 10 lines, please):