Please fill the following form and send it to chchang@phy.ntnu.edu.tw

The 16th Spring School on Particles and Fields


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REGISTRATION FORM
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Last Name : ________________ First Name:______________________
( Please fill out your Chinese Name(if any) and English Name )

Affiliation:____________________________________________________

Mailing Address:________________________________________________

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Telephone:_____________ 

Fax No. :______________

E-mail :____________________


Accommodation: (please check one)
NTNU extension school guest house:
( ) double room (with TV)/one person - NT$1000/night(two
bed)
( ) double room (without TV)/one person - NT$900/night(two
bed)
( ) double room (with TV)/two people - NT$500/night(two bed)
( ) double room (without TV)/two people - NT$450/night(two
bed)
Names of the persons you want to share the room: _________

Howard House International 
( ) Single room - NT$ 16oo/night/one person (one bed,
relatively small)

for the nights of
( ) 3/27 ( ) 3/28 ( ) 3/29 ( ) 3/30 
Other Dates: