REGISTRATION FORM

PARTICIPANT .... / ACCOMPANYING PERSON ....
TITLE, FAMILY NAME  ......
FIRST NAME          ......
SECOND NAME         ......
INSTITUTION         ......
MAILING ADDRESS     ......
POSTAL CODE         ......
CITY                ......
DISTRICT            ......
COUNTRY             ......
PHONE(office)       ......
FAX                 ......
E-MAIL              ......
I will attend the Symposium: (yes/no)                         ......
I need additional information (further bulletins): (yes/no)   ......
I plan to contribute a paper: (yes/no)                        ......
Contribution title  ......

    ACCOMPANYING PERSONS:
NUMBER  ...... 
NAMES   ......

    INFORMATION FOR THE VISA
DATE of BIRTH   ......
CITIZENSHIP     ......
PASSPORT NUMBER ......
PASSPORT EXPIRATION DATE ......
EMBASSY (CONSULATE) the authorization to issue Visa should be sent to
......

    SOCIAL PROGRAM
Conference Dinner (yes/no)          ......
EXCURSIONS:
Moscow  (yes/no)                    ......
Tula - Yasnaya Polyana (yes/no)     ......
UNK-tunnel (yes/no)                 ......
U-70 and UNK facilities (yes/no)    ......

    ACCOMODATION
Single Room  ($40 per night) ......
Double Room  ($50 per night) ......
Economy Room ($20 per night) ......

Any other relevant information  ......

Preliminary arrival date        ......

Complete this form for a participant and for each accompanying person.
Please, return the completed form before February 1st, 1998 to:

E-mail: spin98@mx.ihep.su
N.E.Tyurin, SPIN98 Organizing Committee,
IHEP, Protvino, 142284 Russia
Fax: +7-(095)-230-2337