ESO/IAC Workshop on

Quasar Hosts

24-27 September 1996

Puerto de la Cruz, Tenerife, Spain

Preliminary Registration Form

Please fill in this form before July 31st and submit it to us by clicking on the following button:

You can also retrieve the ASCII version of the registration form and send it by e-mail to qhost@iac.es.
If, at a later time, you need to submit an abstract, please use the Abstract-Only Form.

First Name ..... : 
Last Name ...... : 
Title .......... : 
Institute ...... : 
Department ..... : 
Street/PO Box .. : 
City ........... : 
Postal Code .... : 
Country ........ : 
Telephone ...... : 
Telefax ........ : 
E-Mail ......... :

I would like to:: Attend the conference.
Present a paper on:
Paper Title:
Oral presentation preferred.
Poster preferred.
No preference.

The workshop fee of Spanish Pesetas 15,000 includes a copy of the Proceedings and is payable upon arrival at the workshop.

Are you interested in the full day excursion to La Palma?

Yes
No

If you like, you can submit an abstract now by typing it in the space provided below. Otherwise, you can do that at a later time, by using the Abstract Only Form. The latter should be used also if you have more than one abstract to submit. Please be reminded that all abstracts must be submitted by July 31st.

If you would like to have a hotel room reserved, do not forget to fill in the Hotel Accommodation Form by July 31st. For further assistance, you can contact us at the following address:

Contact Addresses

Monica Murphy (Quasar Hosts Workshop)
Instituto de Astrofísica de Canarias
C/ Vía Láctea s/n
E-38200 La Laguna, Tenerife
SPAIN
Tel: + 34 22 605261
Fax: + 34 22 605210
e-mail: qhost@iac.es
WWW URL address: http://www.iac.es/qhost/index.html
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D.L. Clements (Quasar Hosts Workshop)
European Southern Observatory
Karl-Schwarzschild Strasse 2
D-85748 Garching bei München
Germany
Fax: +49 89 3202362
e-mail: qhost@eso.org
WWW URL address: http://www.eso.org/qhost/