Please send this back to us as soon as possible. More information about the events are at the end of the Venue page.
modest15@astro-udec.cl
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Conference excursion:
( ) I take part with ____ persons. (additional persons have to pay
approx. 10,000 Chilean pesos at the Registration)
( ) I do not want to take part
Conference dinner:
indicate with numbers if filled out for more than one person:
Lamb-chops _____
Steak _____
Vegetarian Pasta _____
(additional persons have to pay 35,000 Chilean pesos at the Registration)
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The registration for MODEST 15 is now open.
As we do not have a possibility at our institute to host an online registration form and we do not want to outsource confident information, we decided to have an old-fashioned registration form in text-format which you can cut, fill and paste and then please send via e-mail to
modest15@astro-udec.cl
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MODEST 15 - Registration form
=============================
first name:
last name:
affiliation:
e-mail:
-----------------------------
I want to present a:
( ) poster
title:
abstract:
-----------------------------
I am a
( ) student
( ) postdoc
( ) senior scientist
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We gratefully aknowledge support by the following institutions: Universidad de Concepcion, Facultad de Ciencias Fisicas y Matematicas, Departamento de Astronomia, the European Southern Observatory, the Centro Astrofisica y Technologias Afines, the Chinese Academy of Sciences South America Center for Astronomy and CONICYT.