6th ATLAS MUON WEEK

June 10-17, 2001 Gaeta, Italy


REGISTRATION FORM


  PARTICIPANTS

Surname: First name:
Institution:
E-mail:
Address: Residence Istitution
City: State/Prov:
Country: Zip Code:
Telephone: Fax:
Arriving
Date:
Departure
Date:


  ACCOMPANING PERSONS

Surname:    First name: 
Surname: First name:


  REGISTRATION FEES

  200.000 Italian Lire both for partecipant and accompaning persons to be payed at Workshop Desk.