Workshop Registration Form 
International Workshop on Multibunch Instabilities 
in Future Electron and Positron Accelerators 
KEK, Tsukuba, Japan 
15 - 18 July, 1997 
Family name: [Prof.] [Dr.] [Mr.] [Ms.] .........................
First name: .................................................... 
(You can skip below if you have already provided them.) 
Affiliation: ...................................................
Mailing address: ...............................................
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E-mail address: ................................................
Fax number: ....................................................
Phone number: ..................................................
Conference fee 15,000 yen  (Japanese yen in cash only) 
Excursion fee for each accompanying person 5,000 yen 
Please check 
1. Is your accompanying person(s) interested in joining the excursion? [ ] 
If so, how many? ....... 
Please pay by cash (Japanese yen only) at the registration desk. 
2. Do you plan to give a talk at the Workshop?  Yes [ ] No [ ] 
If yes: the tentative title is...................................
Please return this form before June 20, 1997 by e-mail, fax or mail to 
Ms. Yoko Hayashi, Secretary 
Accelerator Laboratory 
KEK 1-1 Oho, Tsukuba-shi, Ibaraki-ken, 305 
Japan 
E-mail: mbi97@KEKVAX.KEK.JP (internet) 
Telefax: +81 298 64 3182   Telephone: +81 298 64 5214