Please copy and paste this form to an email message, complete it and return it to:

Rod Garcia: ragarcia@lanl.gov

or: print this page and fax to: (505) 665-2659

Image Analysis and Understanding Data From Scientific Experiments

December 2-6, 2002

Registration Form

First Name:

Last Name:

Affiliation:

Business Address:

Work Phone:

Work Fax:

Email Address:

Country of Citizenship:

LANL Participants Only: For Registration Fee

Cost Center_____________________  Program Code___________________________

Short Course Registration

Two days of short courses have been planned to follow the workshop.  These short courses are intended to introduce investigators to three  main approaches to image analysis.

I wish to attend the following short course(s):

1) PDE/Variational based Image Analysis. (7 lectures)  ______

2) Wavelet methods in image analysis. (5 lectures)  ______

3) Stochastic methods in image analysis. (6 lectures)  _____