NOTICE OF SEMINAR/COLLOQUIUM


Date Submitted:

To:  Winnie Yu, Room 1-, Building 510A

From:  Name of Host:


SEMINAR/COLLOQUIA COMMITTEE NAME:  Particle Physics

TITLE:



ABSTRACT:  (or email to  whyu@bnl.gov)












SPEAKER:
      (Gender)   (First Name)     (Last Name)

AFFILIATION:

CITIZENSHIP:  ____________________________________   VISA TYPE:


DATE OF TALK:          TIME:

LOCATION:


HOUSING: No ________  Yes ________      If yes, dates of arrival and
departure:  _________________________
      Non-Smoking room _________ Smoking room ___________

Additional account number (if stay is longer than 3 days):
___________________


TRAVEL REIMBURSEMENT FORM available in the Seminar Office.  Please provide
original receipts.



DO NOT FILL IN BELOW THIS LINE

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