REGISTRATION FORM

Email to bambi@fceia.unr.edu.ar
CC to mariomu AT cco DOT caltech DOT edu

or Fax to Maria Isabel Schiavon FAX No:+54 41 24 95 15
or Fax to Mario Munich FAX No: +1 626 795 8649

I would like to attend this workshop:

Name:

Affiliation:

Address:

Telephone:

Fax:

Net address:

Dietary restrictions:

None
Vegetarian
Milk free
Kosher
Other

Flight arrival time:

Lift requested from Fisherton or Rosario Bus station (please specify) on 23 August: