THE UNIVERSITY OF MELBOURNE

SCHOOL OF PHYSICS

WOMEN IN PHYSICS WEEKEND 2000 REGISTRATION


Name

Phone number

Alternative Number

Email

Are you able to attend any or all of the Women in Physics Weekend this year?

Yes | No

If you can't come for the full weekend, please indicate your availability

Will you be driving?

Yes | No

Do you require a lift?

Yes | No

If you can take extra passengers, please let us know how many as well as the names of anyone you have already arranged to take.
Any other travel comments/requirements.

Please provide details of special meal requirements,comments etc