EUROPEAN PHYSICAL SOCIETY
17th INTERNATIONAL NUCLEAR PHYSICS
DIVISIONAL CONFERENCE

JANUARY 14-18, 2002 - EILAT, ISRAEL

REGISTRATION AND ACCOMMODATION FORM

An ASCII version of this form can be found here.

Surname
First Name
Title: Dr. Prof. Mr. Mrs. Ms.
Mailing Address:
Country Postal code
Tel:
Fax:
e-mail:
Accompanying person(s)
Conference Dinner, 17/01/02 (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 will mail a check for US$
(or equivalent) payable to: Nuclear Physics /UNITOURS
Check No: Bank

I will mail or fax 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

I wish to charge my credit card and will airmail or fax the authorization.


Secretariat, Nuclear Physics
P.O.Box 3190, 61031 Tel Aviv, Israel
FAX: +972-3-5239299
e-mail: meetings@unitours.co.il


back to top
ign="top">