Registration for CNLS Conference

EXCITED STATE PROCESSES IN

Please email or fax to (505) 665-2659

Full name:

Email:

Institution:

Mailing Address:

Status (Faculty/Staff/Postdoc/Student):

Telephone:

Fax:

PRESENTATION:

Invited ___ Contributed ____ Attendee _____

Expected date of arrival:

Expected date of departure:

BANQUET:

I plan to attend the workshop banquet Wednesday night 08/13/2003: _____

I will not attend the banquet: _____