FLAVIANET TOPICAL WORKSHOP

Low energy constraints
on extensions
of the Standard Model

Registration Form

Last Name:

First Name:

Institution:

Postal address:

e-mail:

Accompanying persons:


Would you like to give a talk:
Yes
No
Title and remarks:

Accomodation preferences
(price for hotel with breakfast/person/night):

single room: 250-450 PLN
double room: 140-240 PLN
triple room : 120-150 PLN

Lunches (50 PLN/lunch) will be served in the hotel, where the workshop takes place. Please indicate in the field below if you prefer to organize lunches yourself.
No lunch

Once the principal hotel is fully booked, we will ask participants to book rooms in:

other hotels
Please indicate your prefered room mate(s)
even in case of single room reservation
as the number of available single rooms is limited.
Further comments are also welcome

You can also send an e-mail with the required information to the address: czyz@us.edu.pl, subject: REGISTRATION