Santa Fe 2000 Summer Workshop

``Supersymmetry, Branes and Extra Dimensions''

July 31-August 11, 2000

Registration Form

I will attend the Santa Fe 2000 Workshop for the following dates.

Name
Institution
Email Address
Phone Number
Mailing Address

I will attend for the following dates:
July 31 - August 11 (full program)
July 31 - August 4
August 4 - August 11

Please indicate the nights you will need housing and the type of housing desired. We will do our best to accomodate participants with their desired form of housing.

Type of housing:
Apartment (2 bdr) -- $135 per day (unsubsidized rate)

    Check here if bringing family.

Suite or Dormitory (single rm) -- $65/$62 per day(unsubsidized rate)
Will arrange housing myself.

Check here if student or postdoc (to receive postdoc rates).

Check-in date
Check-out date

Comments or special requests (housing coordination requests, handicap requirements, etc.)

An email will be sent to acknowlege receipt of your application. $125/week housing deposit will be due April 15, 2000.
Full payment for housing will be due July 15, 2000.

Please make checks payable in US dollars to UC Regents and mail to:

Csaba Csaki
MS B-285
Los Alamos National Laboratory
Los Alamos, NM 87545
USA

We cannot accept credit cards. However, personal checks will be accepted.

If you have additional questions, contact the organizers, Csaba Csaki or Josh Erlich, at workshop@gita.lanl.gov.