14th Workshop on Elastic and Diffractive Scattering
EDS2011(BLOIS Workshop) Registration  Form
Vietnam, December 15-21, 2011

 

Please use this form to register for the 14th Workshop On Elastic and Diffractive Scattering (EDS2011Blois Workshop) and to receive further conference mailings.  Electronic submission of this web form is the only means of registration. 

* If you would like to present a talk, please communicate with the Chair of the relevant Session and submit a title and abstract to the Chair with a copy to Ms. Rotondo.
* Please see our website for information about accommodations and for all Registration information.

Registration

Registration Fee: US$ 350.00 or € 300.00

Number of accompanying persons:

Name(s) of Accompanying person(s):


Select your desired room type: single double

Methods of payment: Interbank transfer (preferred method) or by cash at the conference site; we regret that credit card payments will not be possible. All Payment information is at the Conference Registration Webpage.

Board and Lodging Information

Personal Information:

First (given) Name : Last (family) Name:

Institutional Affiliation:

Address:

Email Address :

Phone Number:

Arrival Date:     

Departure Date:

Post Conference Tour: Yes No Maybe

Vegetarian meal requested: Yes No

Vegan meal requested: Yes No

Conference Bus: Yes No


Remarks?

Inquiries:

Conference Coordinator: Ms. Hady Schenten

Scientific program Coordinator: Ms. Mary Ann Rotondo