The Second Latin American Workshop on Nuclear and Heavy Ion Physics
ELECTRONIC REGISTRATION FORM

In order to register, please fill the following form

  • I want to participate in the workshop with oral presentation(s) and poster(s)

  • Name:

  • Position or Title:

  • Research Topics of Interest:(It can be of any length. Once it is written, use the mouse and the arrows at the window edges to review it or to correct it)

  • Institution:(It can be of any length. Once it is written, use the mouse and the arrows at the window edges to review it or to correct it)

  • Telephone Number:

  • FAX Number:

  • E-mail Address:

  • Mail Address:(It can be of any length. Once it is written, use the mouse and the arrows at the window edges to review it or to correct it)

  • Write the title(s) and related topic(s) (see SCOPE) of your contribution(s) :(It can be of any length. Once it is written, use the mouse and the arrows at the window edges to review it or to correct it)

  • I need arrangements for accomodations

  • Describe your accomodation needs:(It can be of any length. Once it is written, use the mouse and the arrows at the window edges to review it or to correct it)

  • Please send me:
  • Information about the workshop exhibits
  • Visitor general information
    •

Thanking you in advance for your cooperation,

The Organizing Committee

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