Registration Form for GLAST LAT Collaboration Meeting

Roma, Accademia dei Lincei, September 15-17, 2003.
Contact glast@roma2.infn.it to update or change your registration information.

Name 

Title (Dr./Mr./Ms./Professor,etc) 

Institution or organization 

Email address 

Phone number 

FAX number 

Address 

City 

State/Province 

ZIP/Post Code 

Country 

Social Dinner  YES NO

Sept 18 GLAST SWG  YES NO

Note 

To help cover expenses there will be a 20 Euro per day registration fee + 40 Euro for the dinner, payable at the meeting ( no credit card, sorry)

When the information is correct, click on "Register":