RIKEN BNL Research Center Workshop

         Quarkonium Production in Relativistic Nuclear Collisions
                        Sept. 28 - Oct. 2, 1998

                            REGISTRATION FORM
                       (return no later than ****)

Name: _________________________________________________________________

Title: ________________________________________________________________

Affiliation: __________________________________________________________

Mailing Address: ______________________________________________________

                 ______________________________________________________

                 ______________________________________________________

Telephone: __________________________ FAX: ____________________________

E-Mail Address: _______________________________________________________

On-Site Housing Request:

     Arrival date _________________  Departure date ___________________

Dorm room ____________      Female ____________     Male ______________

Single accommodation ___________

Double accommodation ___________   Sharing with _______________________

I prefer to make my own reservation at a hotel ________________________

Arrival Information:

     Date/Time of Arrival ________ / ________ Airport _________________

                  Airline/Flight No. ______________

     Date/Time of Departure _______ / ________ Airport ________________

                  Airline/Flight No. ______________


Please make limousine reservation for pickup on arrival _______________
(Please state service preference above.)

Title of Presentation _________________________________________________

                      _________________________________________________

Please send this form to 
       
      Ms. Pamela Esposito
      RIKEN BNL Research Center
      Building 510A, Brookhaven National Laboratory
      Upton, NY 11973, USA
      Phone: 1-516-344-3097  Fax: 1-516-344-4067
      E-Mail: rikenbnl@bnl.gov