Les Houches School PHYSICS OF DNA ASSEMBLY 4 - 8 May 2009 REGISTRATION FORM Fill this form and return it by e-mail to: Michel.Peyrard@ens-lyon.fr DEADLINE: 10 APRIL 2009 The maximum number of participants is limited to 70 by the facilities of the Les Houches School, so that registration may be closed earlier if this number is reached. DO NOT WAIT FOR THE LAST DAY TO REGISTER! ---------------------------------------------------------------- Name: First name: Position: Postal address: Fax: e-mail: ---------------------------------------------------------------- Housing in the Les Houches Physics school will be available form Sunday May 3rd (after 4pm) to Friday May 8th (2pm). For a successful workshop it is important that the participants attend the FULL WORKSHOP. However, to take into account possible constraints, a shorter stay is possible. The cost per participant is 365 Euros. It will be paid in Les Houches on arrival. It includes full board housing and all expenses related to the use of the facilities. For shorter stays the cost is 73 Euros per day (or actually per night spent in the Les Houches School) Date of arrival: Date of departure: ---------------------------------------------------------------- Would you like to present a contribution ? yes/no If yes: Title: Authors: Abstract: ---------------------------------------------------------------- A limited support may be available for young researchers. If you need such a support to attend, explain why here and give the name and e-mail person who can be contacted for reference. ---------------------------------------------------------------- Remarks or special requests: ----------------------------------------------------------------