Pre-registration Form

Name	(last name, first name)
Affiliation/Institution
Professional level
Postal address
E-mail address
Telephone	(Please include country code)
Level of Interest	I will attend May attend, but not sure
Accommodation Preference	I will make my own arrangements I need a room
Type of room	Single room Double room Share room
Financial Support	YES NO Limited financial support may be available.
If YES give details	e.g. Plane fare? (estimated cost in USD); Accommodation?
ALMA excursion	YES NO Note: ALMA excursion at own cost (up to $1000?)
Comments/ suggestions	Comments and suggestions are welcome.