INSTITUTO DE ASTROFISICA DE CANARIAS

Girona Conference

Blazars, Black Holes and Jets

9-12th September 1996

Girona, Spain

REGISTRATION FORM

Please fill in the following form:

Name: Institute/Observatory: Full professional address: Country: Phone number: Fax number: E-Mail: Will your attendence be conditional on receiving support ? (yes/no)
If so, what is the minimum level necessary ? FULL GRANT (yes/no) TRAVEL ONLY (yes/no) HOTEL ONLY (yes/no)
A SMALLER CONTRIBUTION TO YOUR EXPENSES (eg. 30 % of the total cost) (yes/no)
Please justify your need for a grant (if necessary):


CALL FOR CONTRIBUTIONS
Please indicate first (1) and second (2) preference:
LONG TALK (~ 20 minutes)
SHORT TALK (~ 12 minutes)
POSTER

NOTE - There will be a limited number of 20 minute slots available. If more requests are received, the Scientific Committee will select which are to be presented, as 20 minute talks, placing the rest as short, or poster talks.
You may present as many posters as you wish but, only in EXCEPTIONAL CIRCUMSTANCES, will more than one oral presentation be permitted per person.

If you intend to present more than one contribution please fill and send another registration form for each presentation. In this case put just your name and institute in the registration details for the extra presentation.
Name of the Speaker(s):
Title of the communication:
Preliminary abstract (12 lines max.):

FINAL AFTERNOON WORKSHOP SESSION
Please select two sessions from the following list. This choice is not binding, it is so that we can estimate how many people are interested in each session; we will select 5 sessions for the final programme: JET MODELS
MULTIFREQUENCY STUDIES
VARIABILITY AND MONITORING CAMPAIGNS
SPECTRA
ENVIRONMENTS AND HOST GALAXIES
SIMILARITIES BETWEEN GALACTIC AND EXTRA-GALACTIC BLACK HOLE CANDIDATES
THE HISTORY AND FUTURE OF BLAZAR OBSERVATIONS
OTHER (please specify)
HOTEL PREFERENCES
Please indicate first (1) and second preference (2) ($1 = 120-125 Ptas):
HOTEL CARLEMAGNY, four star hotel, 6200 Ptas/person/night (sharing a double room), single supplement 2750 Ptas [Alongside conference hall]
HOTEL PENINSULAR, good quality one star hotel, 3000 Ptas/person/night (sharing a double room), single supplement 600 Ptas [Alongside conference hall]
HOTEL SOL GIRONA, four star hotel, 4500 Ptas/person/night (sharing a double room), single supplement 2500 Ptas [About 2Km from the conference hall]

Sharing a double room ? (yes/no) Who do you wish to share with ? (Give the name of the person, or if you wish to be assigned a room-mate, state your preferences (nationality, etc))

NOTE - We are attempting to obtain a further reduction of single supplement prices, but this is not guaranteed.

Are you interested in attending:
Evening sight-seeing with the "Girona mini-train" (~ 1 hour) (Free) (Monday September 9th) ? (yes/no)
The conference dinner (2500 Ptas) (Wednesday September 11th) ? (yes/no)
After dinner concert (Free) (Wednesday September 11th) ? (yes/no)
A full day tour of the province (1000 Ptas) (Friday September 13th) ? (yes/no)
[We need to get an early idea of numbers to plan these events]


Any comments?


CONTACT ADDRESS



Girona Conference - 1996

c/o Instituto de Astrofisica de Canarias

C/ Via Lactea s/n

E-38200 La Laguna

Tenerife (SPAIN)

Tel: + 22 605200/605389

Fax: + 22 605210

e-mail: girona@iac.es

URL address: http://www.iac.es