Crete Conference On Gauge Theories And The Structure Of Spacetime

Registration Form

^* fields are mandatory. Other fields are also mandatory depending on the context.

Please fill the following mandatory fields:

Please fill out the following registration form in order to register.

If you do not receive this email you most probably mispelled your email address. In this case you should re-register with the correct email address. If this works, send an email to hepweb@physics.uoc.gr in order to report this so that the previous registration is cancelled. If there is still a problem, please contact the adminstrative assistant.

Last Name^* , First Name(s)^*

Title , Affiliation^*

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(Please, give only one e-mail address and make sure that it is correct. This will be your "username" in future interaction with the system. Upon succesful submission of the form, you should receive a confirmation email with your password.)

Phone , Fax

Full Address^*

I am not am a graduate student.

I do not need need written invitation to be sent by normal mail.
If you need a VISA then you MUST say YES! ( Otherwise use the above option only when absolutely neccessary )

Expected dates of arrival^* 11/09/2010 12/09/2010 13/09/2010 14/09/2010 15/09/2010 16/09/2010 17/09/2010 18/09/2010 and departure^* 18/09/2010 11/09/2010 12/09/2010 13/09/2010 14/09/2010 15/09/2010 16/09/2010 17/09/2010 18/09/2010

Please tell us your preferences on housing. Note that there is a limited number of rooms in the academy, and it may be that your choice is not available.
I would prefer a single room a double room
In case you must share a room with whom do you want to share with ?

I will be accompanied by people (must be a numeral)
(You and your guest will share a double room)

In case you want to give a talk, please fill in the talk title:

Please provide here any additional information