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Direct Reactions with Exotic Beams 2009
Registration

  Date & Location
December 16-19, 2009
Florida State University
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Contact
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E-mail Address:
First Name: Last Name:
Institution:
Mailing Address
Line 1:
Line 2:
City:
State/Province:
Zip/Postal Code:
Country:
Phone Number: Fax Number:
Presentation
I would like to make an oral presentation.
I would like to make a poster presentation.
I would not like to make a presentation.
Companion
I will bring a companion to the banquet and excursion ($50).
I will not bring a companion to the banquet nor excursion.

Upon completing the above registration, please use this link to submit your payment.