he 10th International Conference on Supersymmetry 
and Unification of Fundamental Interactions
 

 DESY, Hamburg, Germany 
June 17 - June 23, 2002 


 
 

Registration Form

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Please try to register as soon as possible. It might be hard to find accomodation on short notice...

Please register using the form below. The workshop fee will be 100 Euro, to be payed via bank transfer ahead of time,  via credit card or in cash at the time of arrival. The registration will cover the welcome reception, the conference dinner, the excursion, and coffee during conference breaks.

Methods of payment:

  1. Bank transfer to the following account:
  2. Credit card: Please give details below. We are sorry that only VISA or MASTERCARD credit cards can be accepted.
Name 
Firstname 
Title 
Home Institute (to appear on the badge) 
Street 
Zipcode 
City 
Country 
Phone 
Fax 
E-mail 
Participation  from  to 
Accompanied by (number of persons) 
Vegetarian (yes/no) 
Questions or Comments 
Method of payment (Bank Transfer=BT / VISA Card=VC / EURO Card=EC) 
Credit Card holder name 
Credit Card number 
Expiration date of Credit Card 
Please   the filled-in reservation form, 
or click here to  all fields.
You will get a confirmation on the screen and by  e-mail.
THANK YOU VERY MUCH !

If you want to send this registration form by fax, please use this template.

Send it to
Nora van Looveren
DESY Hamburg
Notkestraße 85
 22607 Hamburg, Germany
FAX : +49 40 8998-4900
 



Last changes: 

                    03/04/2001 by Marcus Hohlmann
                    09/02/2001 by Cristobal Padilla
                    22/02/2001 by Norbert Tesch
                    05/12/2001 by Ties Behnke