Registration form Technical Workshop for APT and APSG 1996 Kashima Space Research Center, Communications Research Laboratory (Kashima, Japan) 10-13 December, 1996 Please complete and return this form to : e-mail : naomi@crl.go.jp FAX : (International) +81-299-847159 (Domestic) 0299-84-7159 mail : APT/APSG Workshop Secretariat c/o Ms. Naomi Shinotsuka Radio Astronomy Applications Section, Kashima Space Research Center, 893-1, Hirai, Kashima, Ibaraki 314 JAPAN Deadline : October 15, 1996 Title : Mr. Ms. Dr. Prof. First (Given) Name : Middle Name Initial : Last (Family) Name : Organization/Company : Mailing Address : Zip/Postal Code : Country : Phone Number : FAX : E-mail address : Paper Title : Short Abstracts (less than 400 words) : Accommodation Information * Leave the following items blank if accommodation arrangement is not necessary. Number of Accompanying Persons : Arriving Date : Departing Date : Special Request : Excursion : I am (not) interested in the Excursion (1/2). Special Request :