

                             ESO/IAC Workshop on

                                Quasar Hosts

                            24-27 September 1996

                     Puerto de la Cruz, Tenerife, Spain

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                       Preliminary Registration Form

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Please fill in this form before July 31st and submit 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 (http://www.iac.es/qhost/qhost_absform.html). 

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

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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.

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Are you interested in the full day excursion to La Palma? 
 
 Yes
 No

(delete as applicable)


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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 (http://www.iac.es/qhost/qhost_absform.html)
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.


Abstract: 

























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ACCOMMODATION

If you would like to have a hotel room reserved, do not forget to fill in
the Hotel Accommodation Form by July 31st 
(see http://www.iac.es/qhost/qhost_accform.html). 


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CONTACT ADDRESSES


For further assistance, you can contact us at the following addresses:

Monica Murphy (Quasar Hosts Workshop)
Instituto de Astrofisica de Canarias
C/ Via Lactea 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 Muenchen
GERMANY
Tel: +49 89 320 06 229
Fax: +49 89 320 23 62
e-mail: qhost@eso.org
WWW URL address: http://www.eso.org/qhost/

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