Compound-Nuclear Reactions and Related Topics
   Originally cnr07.llnl.gov

UCRL-WEB-400660
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Last update,
  Jan 22, 2008

Questionnaire

Please return the questionnaire  below to Nancy Reason, the workshop secretary (reason2 AT llnl.gov).

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Name:
Position:
Affiliation:
Address:
Email:
Phone:
Fax:

Area of research expertise/interest:
[ ]Theory [ ]Experiment [ ]Data Evaluation [ ]Other – specify:

1) I plan to attend: [ ]Yes [ ]No [ ]Maybe
[ ]for the full duration of the workshop or [ ]for part of the workshop

2) I will need accommodations at Tenaya Lodge (www.tenayalodge.com)
[ ]Yes [ ]No [ ]Maybe
Note: Conference Dates are Sun, October 21 (eve) – Friday, October 26 (noon). Yosemite National Park is still very popular in October. Nearby Fish Camp is a small town with few accommodation options.

3) I will bring: [ ] a companion, [ ](#) children
[ ] I am interested in finding out about child care options during the workshop (indicate # of children and ages)

4) [ ] I would like to share a room with another participant
-- preference, if any:

5) I am interested in a half-day excursion to Yosemite National Park: [ ] Yes [ ] No

6) I plan to attend the conference dinner (tentatively Tue, Oct 23): [ ] Yes [ ] No

7) I am interested in presenting a talk or poster: [ ]Yes [ ]No

-- preference [ ]oral presentation [ ]poster
-- indicate [ ]experiment [ ]theory [ ]nuclear data [ ]other – specify:

8) Preliminary title of the presentation and brief (1-2 sentence)
description of the topic (abstracts will be solicited later):

9) I would like to suggest the following speakers:

a) Name and affiliation:
a) Topic:
a) Remarks:

b) Name and affiliation:
b) Topic:
b) Remarks:

(repeat if necessary)

10) I have the following additional suggestions for the workshop:


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Pre-registration Questionnaire: -- Please return Nancy Reason, reason2 AT llnl.gov