SSN4 Workshop Registration

Registration for the SSN4 Workshop

Locarno, Switzerland, May 19-23, 2014.

Registrant Information
Fields marked with * are required.

Mr Mrs

* First Name:

* Last Name:

* Affiliation:

Address:

* City: State:

* Zipcode: *Country:

* Telephone:

Fax:

* Email:

Arrival date: Departure date:

* Visit to the IRSOL and Specola Solare observatories (Tue 20th May)?
Yes Yes with accompanying person No

* Excursion to Brissago islands (Wed 21th May) (Price: 40 CHF)?
Yes Yes with accompanying person No

*Participation to the social dinner? (Thu 22nd May) (included in the registration fee)
Yes Yes, vegetarian No

*Accompanying person to the social dinner? (Price: 70 CHF)
Yes Yes, vegetarian No

Remarks:

Upon submission, your registration will be automatically forwarded to the LOC, and you will get a confirmation reply by e-mail.

NOTE: Email contact: ssn4@specola.ch

	Mr Mrs
* First Name:
* Last Name:
* Affiliation:
Address:
* City:	State:
* Zipcode:	*Country:
* Telephone:
Fax:
* Email:
Arrival date:	Departure date: