Single Molecule Biophysics preregistration form July 8th to 15 th 1999 Tours (France) Please fill out this form as plain text (if you use a word processing, save it in RTF format please no .doc format) and send it to Vincent.Croquette@physique.ens.fr Last Name............................. First Name............................ Department............................ Insitute.............................. Address.............................................................. ..................................................................... City..............................Zip code.......................... Country........................... Phone Number......................Fax Number........................ E-mail............................ Birthdate.........................Citizenship....................... Student / Postdoc / Faculty / Industry (strike out) Physicist / Chemist / Biologist / Other (strike out) Would you be interested by a BUS ride from Roissy (7th Jully, 4pm) to Tours ......................................................................... Are you interested by giving a short communication (yes or no)................. if yes temptative title Are you interested in presenteing a Poster (yes or no)........................ if yes temptative title Please motivate your wish to participate in this workshop and if possible give references to your work.............................................. .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... .......................................................................... references .......................................................................... .......................................................................... ..........................................................................