Registration form for b / tau workshop

b / tau Workshop Registration Form

Last Name First Name(s)

Title Affiliation

e-mail

Phone Fax

Full Address

written invitation to be sent by normal mail.

Expected dates of arrival and departure

like to give a talk.

The talk title is

and the abstract is

I have persons accompanying me, who will participate in the conference dinner on Friday night.

Please provide here any additional information (Such as a special diet.)