pre-registration, NASA Astro workshop

["Guido W. Fuchs" <fuchs@strw.leidenuniv.nl>]

Registration form
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Last name:            Fuchs
First name:           Guido
Middle name/initial:  W.
Affiliation:          Leiden Observatory
Street Address:       Niels Bohr Weg 2
City:                 Leiden
State:
Postal Code:          NL-2333 CA
Country:              The Netherlands
Tel:                  ++31 71 527 8439
Fax:                  ++31 71 527 5819
E mail:               fuchs@strw.leidenuniv.nl
Citizenship*:         German
Abstract title        Interstellar Ice Analogues - the case of CO-O2 ices
Special requirements: -none-
*Non-US citizens should contact Cara Loomis if travel reimbursement for
the Workshop is required.

Dr. Guido W. Fuchs
Raymond and Beverly Sackler
Laboratory for Astrophysics at
Leiden Observatory
PO Box 9513
2300 RA Leiden
or
Huygens Laboratory / J.H. Oort Building
Niels Bohrweg 2
The Netherlands

phone ++31 71 527 8430
fax   ++31 71 527 5819