Registration Form for:


RHIC Retreat

March 5-7, 2002

at

Gurney's Inn

Montauk Point


Items in RED are mandatory fields and must be filled in.

Registrant's Information:
 Preferred Title:   Prof.    Dr.    Mr.    Mrs.    Ms.   

 
 
  Family Name
  First Name		  
  M.I		  
 
   Work Number
  Fax
 
  Mail Drop		  
   Enter a valid email address to receive a written confirmation.
   Email Address
 
 
   Name of person to contact in an emergency
  Emergency Number
 
Accommodation Requests For Gurney's:
  Arrival Date
 		   Departure Date
 		   Number of Nights
 		  
 
Your room will be rented on a Double Occupancy basis. If you have a preference please indicate who you will be sharing your room with. If you do not have a preference, roommates will be randomly selected.
* If you choose not to share a room, you will be responsible for the additional charge of $53.10 per night.
 
I prefer to share a room with: I prefer NOT to share a room and am aware of my addition expense of $53.10/night.
Transportation:
 
Bus transportation will NOT be provided.
(There was not enough interest in the Bus, so we suggest car-pooling.)
* If you use your personal vehicle, you will be reimbursed at 36.5 cents per mile.
 
Special Dietary Requests/Comments:
 
 
Sessions:
 
We are planning six sessions listed below. Please check all you plan on attending:
OPENING MACHINE
      RELIABILITY 		MACHINE EXPERIMENTS
      & DIAGNOSTICS
MACHINE
      PERFORMANCE 		MACHINE
      INTEGRATION 		FUTURE DEVELOPMENTS
      & CLOSE OUT
 
 

 

For information  

please call: Mary Campbell
Tel.: 631-344-4776, Fax: 631-344-5954, Email: maryc@bnl.gov



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