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REGISTRATION

6dFGS Workshop 2005

Please complete and submit the registration form below.

Attendance:
I will definitely be attending the workshop
I will probably be attending the workshop

Name:

Affiliation:

Postal Address:

Contact Details:

Email: 

Phone:   Fax:

Talk:
I would like to contribute a short talk:    Yes    No

Title:

Comments and additional information: (Please signify your interest in the tour here)