REGISTRATION FORM
EVN CBD / EVN Executive Meeting / JIVE Board Meeting
Arcetri - May 18-19, 2006
Please fill in this form and send it by email to p.braschi@ira.inaf.it or via fax to 0039 055 2752287.
Last Name: _____________________________
First Name: _____________________________
Email: _____________________________
Institution: _____________________________
Address: _____________________________
City: _____________________________
State: _____________________________
Arrival day: _____________ ~ time: __________
Departure day: _____________ ~ time: __________
Official invitation needed to obtain a visa: YES / NO
EVN CBD Meeting - May 18: YES / NO
EVN Executive Meeting - May 19: YES / NO
JIVE Board Meeting - May 19: YES / NO
Dinner May 18: YES / NO
Accompanying person(s) to dinner?: #__________
Comment/special requirements?: _______________________________________
(e.g. vegetarian)
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ASCII FORMAT Registration Form