Imperial College of Science, Technology and Medicine

HIGH ENERGY PHYSICS

REGISTRATION FORM

BaBar Collaboration Meeting, 9-13 September 2002

     Title: 
First Name: 
   Surname: 

Institute Address:


e-mail: 
TEL No. 
FAX No. 

Please BOOK HOTEL ACCOMMODATION with the Conference Office

http://www.ad.ic.ac.uk/conferences/

or university accomodation at 

http://www.ad.ic.ac.uk/conferences/babar.htm

Type of accommodation booked: 

Date of Arrival:   
Date of Departure: 

The conference fee includes the cost of the collaboration dinner.

Attending collaboration dinner ? : No       Yes 

Number of additional guests for collaboration dinner (£35 each guest): 

Food requirements (if attending dinner) :

The conference fee is £ 95 for each attendee.

The cost of the collaboration dinner is included in your registration fee, 
£ 35 is requested for each guest
                                                                                 
METHOD of PAYMENT:

Please Note: Payment is due immediately upon completing your registration via this form, not upon arrival at the conference.
Send your payment to the address given below.
UK Cheques should be made out to: Imperial College, BaBar02

Details for bank transfers:

For payment by bank transfer please also send a fax copy to Piera Brambilla

Please send this form with payment to:
Piera Brambilla, BaBar02
Physics Dept, Imperial College
Prince Consort Rd, LONDON SW7 2BW

or your Credit Cards info to: p.brambilla@ic.ac.uk
Tel: 0044 (0)207 594 7824
FAX: 0044 (0)207 823 8830