Registration form for SNAP'96
Name:
Address:
E-Mail:
Telephone:
Fax:
I plan to
attend and give a lecture
attend (definite)
attend (tentative)
Please give a tentative title for the lecture:
Date of arrival:
1
0
1
2
3
5
0
1
2
3
4
5
6
7
8
9
/
07
/
1996
Date of departure:
1
0
1
2
3
7
0
1
2
3
4
5
6
7
8
9
/
07
/
1996
Other information:
or
.