Family (last) name:

Given (first) name and middle initial:

Institution:

Mailing address:
 
 

Email address:
Telephone:
Fax:

Registration fees -
          Conference registration  ($180)      $______
          Social hour and Banquet ($50)       $______
                                TOTAL:                                    $______
Registration fee options - payment must be made in US dollars:
    1) Mail registration with check or money order made out to "Cornell University"
    2) Pay at the workshop - Sunday evening or Monday morning.  Payment options
        at the workshop are:   a) cash ($US only)     b) check or money order
        c) credit card (Visa, MasterCard, AMEX, Discover or Novus)
We can not accept credit card payments in advance of the workshop..

Which working group(s) will you be attending?
  ___       Collective effects
  ___       RF&Feedback
  ___       IR&Optics
  ___       Operations, Instrumentation, Injection

If you are planning on contributing papers, please list titles and relevant working groups here:
 
 
 

To submit registration by email, please copy the above registration form (the text between horizontal lines), and paste into a message to Monica Wesley, workshop@lns.cornell.edu. You may edit the form in your email program to add the required information.
 

* Registration fee includes breaks and lunches Monday -Thursday and Friday morning break, Monday evening reception, workshop proceedings on CD-rom, plus miscellaneous workshop expenses.