If you have been accepted to the Workshop please fill in and print out this form. Then send it along with your check for 600 € (or USD $890) to the address given below. This form and your payment must be received by March 31, 2008, otherwise we will assume that you do not wish to attend the workshop.

Name:

Address:

Telephone Number:

E-mail:

I WILL attend the EMBO workshop and have enclosed a check in the amount of 600 € (or USD $890) to cover my registration and subsistence costs in Crete.

I will NOT be able to attend the EMBO workshop.

Other information

Name of accompanying guest, if any:

Indicate special dietary needs at OAC meals:

Requested Roommate at OAC:

(Please mail to kaufman (AT) indiana.edu to request a single room at the OAC. There are a limited number of these rooms so not all requests can be accommodated.)

If you prefer off site accommodations, please indicate:

If you intend to arrive early and/or stay after the meeting please give dates:

To pay in USD $ or Euro €

Make a check payable to Crete EMBO Drosophila Workshop and send to:

• Thomas C. Kaufman
• • Indiana University, Department of Biology
  • 1001 East Third Street, Bloomington, IN 47405
  • Tel: 812/855-3033
  • Fax: 812/855-2577
  • Email: kaufman (AT) indiana.edu

Cancellation of registration

Cancellation requests must be sent to kaufman (AT) indiana.edu no later than Monday, March 31, 2008. After that date, no refunds will be made.