DIFFRACTION 2004 - Registration Form
(deadline August 21, 2004)

 
Please fill this form to register to DIFFRACTION 2004. We will also accept e-mail with the same information, but electronic submission of this web form is strongly preferred.

Last Name: (required)
First Name: (required)
E-mail: (required)
Institution: (required)

Address (required):

Phone:
FAX:

I plan to give a talk  / to present a poster  :

Title
 

Abstract

I plan to reach Cala Gonone (required)
 by plane
 by ship

Date of arrival (mm/dd):       (required)     Time of arrival (hh.mm):      (required)

Date of departure (mm/dd): (required)     Time of departure (hh.mm): (required)

I plan to bring to the Workshop no.  companions (required)


I would like to bring to the attention of the Organizing Committee the following requirements and / or comments:
 

                                                     

 

If your submission is successful, you should promptly receive an acknowledgment by e-mail.