Heavy Ion Fusion

cover

Registration Form for the 2004 International Symposium on Heavy Ion Inertial Fusion

Attendance at the 2004 Symposium will be limited to about 120 participants due to the size of the conference facility. Participants are therefore requested to complete and submit the following Symposium registration form no later than February 1, 2004.

Participant's Name and Address

Name: Family First

Institution:

Address:

Street address (line 1):

Street address (line 2):

Street address (line 3):

City, State, Zipcode:

Country:

Telephone:

Fax:

E-Mail:

Citizenship (Country):

Passport Number (Non-U.S. Residents):

Registration Fee

The registration fee for the 2004 Symposium will be $400 (U.S.). For early registration by April 1, 2004, the registration fee wil be $300 (U.S.). The registration fee for graduate students attending the 2004 Symposium will be $175 (U.S.).


Please indicate below when you plan to pay the registration fee

By April 1, 2004 At the time of the Symposium


The registration fee should be paid by check made out to:

Princeton Plasma Physics Laboratory

The check for the registration fee should be mailed to:

Ms. Terry Greenberg
Princeton Plasma Physics Laboratory, Mail-Stop 17
Princeton University
P.O. Box 451
Princeton, New Jersey, 08543, USA

Symposium Banquet

The banquet for the Symposium participants will be held on Tuesday evening, June 8, in Prospect House on the Princeton University campus. The charge for the banquet will be $50 (U.S.), collected at the time of the Symposium.


Please indicate below if you are planning to attend the banquet

Yes (with guest): ; Yes (without guest): ; No:


Accommodations

Please indicate below where you are planning to stay during the Symposium. (Participants should make their own hotel reservations directly).


Stay in the Nassau Inn (Conference Hotel)?

Yes No

Other (Specify):


Please indicate anticipated arrival and departure dates below:

Anticipated arrival date:

Anticipated departure date:


Do you have any dietary restrictions?

Yes No

Please specify:


Submit Registration

Clear the form

 


 

 
 
Ronald C. Davidson, 2004 HIF Symposium Coordinator
Princeton Plasma Physics Laboratory
Princeton University, Sayre Drive at Route 1, P.O. Box 451
Princeton, New Jersey, 08543-0451, USA
Telephone: (609) 243-3552; Fax: (609) 243-2418
Email: rdavidson@pppl.gov