Science Case for Next Generation Optical/Infrared Interferometric Facility

Science Case for Next Generation Optical/Infrared Interferometric Facilities
(the post VLTI era)

Please fill-out this form

First Name:

Last Name:

Title:

Initials:

Complete mailing address:

Phone:

Fax:

E-Mail:

I shall not be accompanied

I shall be accompanied by person(s)

I wish to present the following contribution(s):

The abstract(s) should be E-Mailed separately to: astrocol@astro.ulg.ac.be

Registration to the hotels must be made DIRECTLY by the participants This form is for our information only...
Hotels:	name of the hotel
	room	single double
	arrival date
	departure date
	number of nights	nights