Last  Name ......: 
First Name ..... : 
Title .......... : 
Institute ...... : 
City ........... : 
Country ........ : 
E-Mail ......... : 
I intend to attend:   Tuesday afternoon session (SAG)
                      the social dinner on Tuesday evening
                      Wednesday morning session (SAG)
                      Wednesday afternoon session (SAS-WG)
I intend to attend:   also the EPIC Cal/Ops meeting (this is just for internal planning, registration is separate)
I plan to:    contribute a talk at the SAG session
              contribute a talk at the SAS-WG session
I have:    food requirements (please specify in comments field below)
Tentative title of contribution(s): 

Comments on contributions, vegetarian or any other food requirements, etc.: