Eilat, Israel, January 14 - 18, 2002.

REGISTRATION AND ACCOMMODATION FORM

Please return by e-mail, airmail or fax to:
Secretariat, Nuclear Physics
P.O.Box 3190, 61031 Tel Aviv, Israel
FAX: +972-3-5239299
e-mail: meetings@unitours.co.il

Surname _________________________ First name _________________________
Title: __Prof. __Dr. __Mr. __Mrs. __Ms __ __________________________
Mailing address ______________________________________________________
___________________________________________________________________
Country ________________________ Postal code _______________
Tel. _________________ FAX _________________
e-mail ____________________________________________________________
Accompanying person(s) _____________________________________________
__ Conference Dinner, 17/01 (optional) (US$ 45). Number of seats _______
Arrival date ____________________ Flight no. __________ Time ________

Registration fee: Participant (before 20 November 2001, US$250) __________
Participant (after 20 November 2001, US$290) __________
Accompanying person, US$120 __________
Non-member participant (before November 20, 2001),
US$290 __________
Non-member participant (after November 20, 2001),
US$330 __________
Student participant, US$200 __________________


HOTEL ACCOMMODATION
(must be accompanied by deposit of US$110 per room)

Paradise Club Hotel in Eilat
__ Twin room (sharing with _____________________)
__ Double room (sharing with ______________________)
__ Single room
Check in _______________ Check out ______________ No. of nights ____

PRE-CONFERENCE TEL AVIV ACCOMMODATION
(must be accompanied by full payment)

Metropolitan Hotel, Tel Aviv
__ Twin room (sharing with _____________________)
__ Double room (sharing with ______________________)
__ Single room
Check in _______________ Check out ______________ No. of nights ____

TOURS
Please reserve the following tour(s):
__ Tour A - Petra. Number of seats _______
(accompanied by full payment)
__ Tour B - Massada and the Dead Sea _______
(accompanied by US$ 100 per person)

TRANSPORTATION
(must be accompanied by full payment upon registration)

Option: __ Number of seats _______

PAYMENT
__ I enclose herewith US$_________
(or equivalent) payable to: Nuclear Physics /UNITOURS
Check No:_________________Bank___________________
__ Enclosed is a copy of my bank transfer of US$_________________

payable to: Nuclear Physics - Unitours
Acc. No. 403575/60, Bank Leumi Le'Israel,
Trumpeldor Branch (807), Tel Aviv, Israel

__ Please charge the amount of US$_____________ to my credit card:
__ American Express __ Visa/Diners Club __ Master Card
Credit card #______________________Expiry date____________
Surname__________________________Name__________________
Signature___________________________Date__________________