Registration Form:

Last  Name ......: 
First Name ..... : 
Title .......... : 
Institute ...... : 
Department ..... : 
Street/PO Box .. : 
City ........... : 
State .......... : 
Postal Code .... : 
Country ........ : 
E-Mail ......... : 
Telefax ........ : 
Telephone ...... : 
I would like to:    just attend the symposium 
                    contribute a talk  (default)
                    contribute a poster                  
Tentative title of contribution: 

Abstract of your contribution:

Click the appropriate button below to either send the completed form or to clear your answers.


Send comments or questions to: jenam-symp@xray.mpe.mpg.de

Last updated: 6-Jan-2001, by Thomas Boller, bol@mpe.mpg.de