* R E G I S T R A T I O N   F O R M *

Emittance Exchange Workshop  
September 11-29, 2000
Brookhaven National Laboratory


Name:
Affiliation:
Address:

Phone:
Fax:
email:

Are you a foreign national:

Arrival Date:
Departure Date:

Would you like a room, at $145/week, in one of the three-bedroom
cottages reserved for workshop participants :

Reply to Rick Fernow (fernow@bnl.gov) or Kathleen Tuohy (tuohy@bnl.gov)