The 2014 Nanten2 Consortium Workshop (3-4 Feb.)

* Title: Prof A/Prof Dr Mr Ms Mrs Miss

* First Name:

* Surname:

* Affiliation:

* E-Mail Address:

Dietary Requirements (for catering purposes):

* Are you a Nanten2 member?: Yes No
(If yes, please keep any receipts!)

* Accomodation at Brighton Caravan Park 2-4 Feb: Yes No
(Note: Free for Nanten2 members. Students may be required to share cabin rooms)

* Do you request a talk on the second day (4 Feb.)?: Yes No
If yes, enter talk title and abstract below. Talks will be 20-30 min max.

* Would you like to take part in stand-up paddle boarding/kayaking 3 Feb (cost ~$20): Yes No

Please review this form and then or the form.