APPLICATION FORM



    Surname...................................................
    First Name................................................
    Experimentalist...............Age.........................
    Theorist..........................Age.........................
    Institution...............................................
    ..........................................................
    ..........................................................
    Mailing Address...........................................
    ..........................................................
    ..........................................................
    E-Mail........................Telephone...................
    Telefax.......................Telex.......................
    Field of interest.........................................
    .................................................................
    .................................................................

    Companions (please indicate age of children)..............
    1)...............
    2)...............
    3)...............
    Required accommodation how many single rooms?......
    how many double rooms?......
    how many 3 bed suites?......
    PLEASE RETURN THIS FORM CAREFULLY FILLED
    NOT LATER THAN JANUARY 11, 1999
    TO
    Claudia Tofani, INFN, Via Livornese 1291, I-56010 S.Piero a Grado (Pisa), Italy
    fax: +39(050)-880317 and +39(050)-880318

    e-mail to Claudia Tofani