2004 IAOC INTERNATIONAL WORKSHOP
REGISTRATION FORM Deadline for registration: September 3 Registration fee: USD 50 or € 40 or CLP 30000 to be paid upon registration in cash only (no cheques nor credit cards). I wish to attend the 2004 IAOC International Workshop "The Cool Universe: Observing Cosmic Dawn", on October 4-8, 2004 in Valparaíso, Chile. Last Name: First Name: Institution: E-mail *: Academic level: Researcher Post-Doc Student I wish to give an oral presentation: Title: (mandatory) Abstract: (mandatory) I wish to present a poster: Title: (mandatory) I ask for a grant (support for local expenses only): Yes No
REGISTRATION FORM
Deadline for registration: September 3
Registration fee: USD 50 or € 40 or CLP 30000 to be paid upon registration in cash only (no cheques nor credit cards).
I wish to attend the 2004 IAOC International Workshop "The Cool Universe: Observing Cosmic Dawn", on October 4-8, 2004 in Valparaíso, Chile.
