IX International Workshop on "Neutrino Telescopes"

 PRE-REGISTRATION FORM



 Name ________________________________________________________________________ 

 Institution _________________________________________________________________

 Address _____________________________________________________________________

  ____________________________________________________________________________

  ____________________________________________________________________________

 Phone ____________________________ Fax ______________________________________

 E-Mail ______________________________________________________________________






 I plan to attend the "Neutrino Telescopes"           yes__       no__






  We would like to remind you that, since attendance is unfortunately limited by
 the size of the Istituto Veneto Conference Room, registrations can be accepted
 only if they arrive very soon. First come, first served!








 Please send this form back no later than  September 22, 2000 to:

      Prof. Milla Baldo Ceolin
      Dipartimento di Fisica
      Via Marzolo, 8
      35131 Padova / Italy
      Phone: ++39-0498277143
      Fax:   ++39-0498277145
      E-mail:BALDOCEOLIN@PADOVA.INFN.IT