REGISTRATION FORM

Please complete this form and submit it by pressing the Submit button at the bottom of the page. If you have questions, please phone Luz Jaquez at x3200.

NOTE: Registration Deadline is November 25, 1996

Last Name:
First Name:
Affiliation:
Mailing Address: Department:
Mailing Address: Mail Stop/Building:
Mailing Address: Institution:
Mailing Address: Street/P.O.Box:
Mailing Address: City:
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Work Telephone:
Telefax:
Internet Mail Address (Example: ljaquez@fnal.gov):

Working Group Preference: Please click on those groups in which you are MOST LIKELY to participate:



Physics Working Groups	R&D Working Groups
1. Production 2. Baryons 3. Mixing & CP Violation 4. Rare Decays	1. Simulations 2. Precision Tracking 3. Particle ID 4. Triggering

If you experience any problems with electronic submission of this form, please contact Luz Jaquez or print and fax the completed form to her using the address information shown below.

CONTACT ADDRESS:

Luz Jaquez
M.S. 208
Fermi National Accelerator Laboratory
P.O.Box 500
Batavia, IL 60510-0500
Fax: 630-840-4610
E-Mail: LJAQUEZ@FNAL.GOV