SECOND INTERNATIONAL CONFERENCE ON SUPERSTRONG FIELDS IN PLASMAS Villa Monastero, Varenna, Italy August 27 - September 1, 2001 Registration Form Return this form by June 15, 2001 to: Mrs. Carolina Allocchio Istituto di Fisica del Plasma, C.N.R. Via R. Cozzi, 53 20125 MILANO Italy Fax +39-0266173239 FAMILY NAME : FIRST NAME : INSTITUTION : ADDRESS : COUNTRY : TELEPHONE : FAX : E-MAIL : TITLE OF PAPER: Payment Registration fee L. 700.000 (including VAT) payable to: C.N.R. "Incassi giornalieri da altre dipendenze" , with reference to: "TIT 108 CNR-IFP-(Mi), The 2nd International Conference on Superstrong Fields in Plasmas" ( ) Fee is transferred to B.N.L., Ag.n.6392, Roma, ABI 01005 - CAB 03392 account n.218155 (put a cross to indicate the money transfer). Please make sure that the Conference Organization will get the exact amount, without charging it the bank fees. Italian participants should indicate their fiscal code in order to get an invoice: CF: Date