******************************************
******************************************

Workshop on Noncommutative Manifolds II 

22-26 October 2007, Trieste (Italy)

******************************************
******************************************

Application Form (to be sent by August 30, 2007)
------------------------------------------------

SURNAME: 	                                                                            

NAME: 	                                                                              

INSTITUTION/UNIVERSITY:	


EMAIL: 	  	  	  	                



DATES OF ARRIVAL AND DEPARTURE:

	   	  
ARE YOU INTERESTED IN A GUEST-HOUSE ACCOMMODATION?  

	   	  

IF YES, DO YOU PREFER A SINGLE OR DOUBLE ROOM? 
(if you would like to share a double room with someone in particular, please specify)



PLEASE EMAIL THIS FORM TO ncg07@sissa.it