Registration form for the fourth Nordic LHC Physics Workshop

SCFAB Stockholm 22-24 November 2001.

Family Name
First Name
Home Institute
Address

Telephone
e-mail
Do you wish to participate in the SUSY School starting thursday 22 13.00?
 Yes No
Do you wish to participate in the Workshop starting friday 13.00
 Yes No
Do you wish to participate in the workshop dinner friday evening
 Yes No
If yes, do you have any special food-requirements (allergies etc.)
Would you like to contribute with a presentation? If so please indicate the content here:
 


You will not receive immediate confirmation of your registration. You should however expect an e-mail confirmation within one working day. If confirmation has not arrived after several days please contact sten hellman at sten@physto.se for registration verification.

The Conference Fee

The conference fee of 500 SEK should be payed in advance by either of the following means:

  1. Swedish Postgiro: Stockholms Universitet, account number 15657-0
  2. Bank transver to S-E Banken account 5439 10 01306
    (Swiftadress: ESSESESS Postal address: SE-banken, S-10640 Stockholm)

All payments must include the following information: