CALOR99 - VIII International Conference on Calorimetry in High Energy Physics June 13-19, 1999 Lisbon, Portugal ----------------------------------------------------------------------------- REGISTRATION FORM ----------------------------------------------------------------------------- IDENTIFICATION -------------- FAMILY NAME: _____________________________________________________ FIRST NAME: _____________________________________________________ EXPERIMENT or FIELD OF WORK: ___________________________________________________ INSTITUTION: ___________________________________________________ ADDRESS: ___________________________________________________ ___________________________________________________ E-MAIL: ___________________________________________________ PHONE: ___________________________________________________ FAX: ___________________________________________________ CONTRIBUTION ------------ TITLE: _____________________________________________________ _____________________________________________________ ABSTRACT: _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ ____________________________________________________ AUTHORS: _____________________________________________________ _____________________________________________________ PLEASE INDICATE IN WHICH SECTION YOU WOULD LIKE TO INCLUDE YOUR COMMUNICATION (type an X): ___ Calorimetry with crystals ___ Ionization calorimetry ___ Calorimetry with organic scintillators ___ Cerenkov calorimetry ___ Electronics and DAQ ___ Calibration and monitoring ___ Radiation hardness ___ Simulation of calorimeter performance ___ Low and medium energy calorimetry ___ Neutrinos and calorimetry ___ Calorimeters for astrophysics ___ Medical applications PAYMENT ------- (TYPE AN "X" IN THE SPACES CORRESPONDING TO YOUR CHOICES) I will pay the Conference fee through the following option: ___ Bank Transfer to the Conference account: (make sure that your name is stated in the bank transfer to allow us the identification of your payment) Account name: LIP-CALOR99 Account Number: 0017 0520 0001 3033 8036 1 Bank name: Banco Portugues do Atlantico (Agencia do Campo Pequeno, Lisbon, PORTUGAL) ___ Bank check payable to LIP-CALOR99 ----------- ___ I will pay on site by cash or credit card. ___ I will pay the conference fee by CREDIT CARD ___Visa ___Eurocard ___Mastercard ___American Express Credit card number: _____________________________________ Credit card name: _____________________________________ Expiry date (e.g. 11/99): ____/____ Signature: _____________________________________________ PRINT and send by FAX or LETTER to LIP - CALOR99 Av. Elias Garcia, 14 - 1 1000-149 Lisboa Portugal FAX: +351-1-7934631