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Please paste and mail this form to workshop@star.sr.bham.ac.uk 

       The 6th Birmingham Extragalactic Workshop
        "Cooling in Cosmology" - July 2-3, 2003

Name:-

Institute:-


(Delete below as applicable)

(a) I would like to attend the Workshop but not give a talk

(b) I would like to give a talk entitled:-

    Brief description of talk:-

    Preferred duration [15 min/30 min]:-

N.B. Talks should be closely related to the theme of the workshop.


I would like accommodation for the night of July 2nd in
  (i)   Lucas house
  (ii)  Student residence
  (iii) I will decide later or make my own arrangements
(Delete as applicable)

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