Registration Form for WFLP'99

First Name:
Last Name:
Institution:
Email:
WWW:
Address:
I prefer a single room:
yes
do not care

I prefer a double room:
yes
yes, with
no

In case of a shortage of rooms, I am willing to share a room:
yes
yes, with
no

Date of arrival: First meal:
Date of departure: Last meal:
I intend to give a talk: no short (15') long (30')

Message to the organizers: