SCHOOL OF ASTROPHYSICS "F. LUCCHIN"
                    X Cycle, III Course (2008-2009)

        Cosmological backgrounds - Statistical methods for astrophysics
		     
                 Bertinoro (FC), 24-29 May, 2009


                         REGISTRATION FORM
                  (please, fill in all the fields)


NAME SURNAME .......................................................

AFFILIATION .....................................................

ADDRESS ............................................................

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Phone/Fax..........................................................

e-mail ...............................................................

Room accomodation: 
[ ] single      [ ] twin

Shared with.............................................................


Nights: 
[ ] 5 nights from Sunday to Friday    [ ] 6 nights from Sunday to Saturday


Request of financial support:
[ ] no           [ ] yes  Reason: .................................... 

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To validate the request of financial support, please send to
school09@oabo.inaf.it a short CV.


Status:

[ ] PhD student [ ] Postdoc  [ ] Fellow  [ ] Student [ ] Other (specify)


Reasearch field:

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Short talk: 
[ ] no           [ ] yes  Presentation title: ........................ 

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Do you need the school bus service?

From Bologna bus station to Bertinoro on Sunday 24 May at 17h00 
(exact time to be confirmed):

[ ] no           [ ] yes

From Bertinoro to Bologna on Friday 29 May afternoon 
(departure around 16h30, after the end of lectures. Expected arrival
in Bologna around 1h later):

[ ] no           [ ] yes

Other requests: ......................................................

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To be sent to school09@oabo.inaf.it or by fax at the number +39 051 2095700