Santa Fe 2004 Summer Workshop

``Beyond the Higgs''

August 8 - August 14, 2004

Registration Form

I will attend the Santa Fe 2004 Summer Workshop.

Name
Institution
Email Address
Phone Number
Mailing Address

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.

Housing preference:
La Fonda Hotel. Check here if bringing family.
Will arrange housing myself. (Unfortunately we cannot reduce the registration fee if you choose alternate accommodations.)

Check-in date
Check-out date

Comments or special requests (food requirements, handicap requirements, etc.)

An email will be sent to acknowlege receipt of your application. The $375 housing/registration fee will be required by April 25, 2004.

We cannot accept credit cards. However, personal checks will be accepted. Please make checks payable in US dollars to UC Regents and mail to:

John Terning
MS B-285
Los Alamos National Laboratory
Los Alamos, NM 87545
USA

If you have additional questions, contact the organizers, Yuri Shirman and John Terning, at workshop@particle.lanl.gov.