REGISTRATION FORM

REGISTRATION FORM:

The fractional quantum Hall effect
on the eve of the new millennium

Name:

Address:
E-mail:
Postal address :

Position: Graduate Student Postdoc Academic staff Other
If `other', please specify:

Accommodation:
If you will make your own accommodation arrangements please indicate this by selecting "None required", (this is the default).

Alternatively, if you would like us to arrange your accommodation for you please indicate the desired type

and also indicate the desired budget range for your accommodation:

Arrival and departure dates (if known) and any special requests should be entered here (preferred hotel, name of person sharing etc.):

Please review the form before submitting.

Press this button to submit the application: , or reset the form: .