REGISTRATION FORM
The 2nd ICFA Beam Dynamics Workshop on
The Physics of High Brightness Beams
Please print clearly or type:
NAME:_________________________________________________________________
COMPLETE MAILING ADDRESS:__________________________________________
________________________________________________________________________
EMAIL ADDRESS:_______________________________________________________
PHONE:________________________________________________________________
FAX:__________________________________________________________________
REGISTRATION FEE: ________$350 (if received by October 10)
LATE REGISTRATION FEE: ________$400 (if received after October 10)
STUDENT REGISTRATION FEE: ________$210
Your check must be made payable to the Regents of the University of California and sent to Melinda Laraneta, UCLA, Dept. of Physics, Box 951547, Los Angeles, CA 90095-1547. No credit cards will be accepted; cash and travelers checks will be accepted. Full registration fees must be paid even if a participant will only attend a portion of the meeting; no exceptions will be made.
PARKING REQUIRED: ________$ 20
There is very limited parking available at UCLA. In order to insure that you have a spot in Lot 2 near the Faculty Center it must be arranged in advance. If you wish to receive parking, please include this in your registration fee. Your parking request must be received no later than November 1. Directions are given separately in this mailing.
RECEPTION November 08, 6:30-8:00pm: _______Yes _______No
BREAKFAST: _______Wed _______Thu _______Fri
LUNCH: _______Tue _______Wed _______Thu
DINNER CHOICE: _______Chicken ________Beef
Your choice must be received by October 25. If your choice is not receive by October 25 you will receive Chicken.
VEGETARIAN MEALS: _______Yes (this request must be received no later than October 25.)
If you have questions please contact Melinda Laraneta at laraneta@physics.ucla.edu.