Physics Of X-Ray Multilayer Structures

Registration Form

Name:_________________________________________________

Address:_______________________________________________

_______________________________________________________

_______________________________________________________

_______________________________________________________

Email:__________________________________________________

Phone:_________________________________________________

Fax:____________________________________________________

Check One:

__ Regular Attendee, $375

__ Student Attendee, $225

Print this form, and mail it along with a check or money order made payable to PXRMS Conference ($US; credit cards will not be accepted,) to:

Registration, PXRMS
c/o Maureen Stellmach
Bell Labs, Room 1C-427
600 Mountain Ave
Murray Hill, NJ 07974
USA