RIKEN BNL Research Center Workshop Fermion Frontiers in Vector Lattice Gauge Theories May 6-9, 1998 REGISTRATION FORM (return no later than April 10, 1998) Name: _________________________________________________________________ Title: ________________________________________________________________ Affiliation: __________________________________________________________ Mailing Address: ______________________________________________________ ______________________________________________________ ______________________________________________________ Telephone: __________________________ FAX: ____________________________ E-Mail Address: _______________________________________________________ Title of Presentation _________________________________________________ (for speakers only) _________________________________________________ Arrival Information: Date/Time of Arrival ________ / ________ Airport _________________ Airline/Flight No. ______________ Date/Time of Departure _______ / ________ Airport ________________ Airline/Flight No. ______________ On-Site Housing Request: Arrival date _________________ Departure date ___________________ I prefer to make my own reservation at a hotel ________________________ 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