DIII-D Long Range Planning Workshop: Registration

Please let us know if you plan to participate and if you want to make an oral presentation by registering,
preferably by Wednesday, December 20, 2006.

First name:
Last name:
Institution:
Telephone #:
Fax #:
Email Address:
Do you intend to submit an idea? No Yes Undecided
Do you intend to present? No Yes Undecided

*Required fields in red