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Physics Fete 2013 (Mar 14-15) Registration Form
All activities are free of charge for students
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* Indicates required question
Name
*
Last name, first name
Your answer
E-mail
*
Your answer
Phone
*
e.g. 08-6464646
Your answer
Cell
*
e.g. 054-6464646
Your answer
University
*
Ben-Gurion University
Bar-Ilan University
Technion
Weizmann
Hebrew University
Tel-Aviv University
University of Haifa
Other:
Department
Your answer
Current position
*
Undergraduate student (BSc / BA)
Graduate student (MSc / PhD)
Staff member
Activities
*
Please check all activities you wish to participate in
Yes
No
Bus from Beer-Sheva to Sde-Boker (Thu morning)
Trip (Thu night)
Spend the night at Sde Boker
Bus from Sde-Boker to Beer-Sheva (Thu night)
Bus from Beer-Sheva to Sde-Boker (Fri morning)
Bus from Sde-Boker to Beer-Sheva (Fri noon)
Yes
No
Bus from Beer-Sheva to Sde-Boker (Thu morning)
Trip (Thu night)
Spend the night at Sde Boker
Bus from Sde-Boker to Beer-Sheva (Thu night)
Bus from Beer-Sheva to Sde-Boker (Fri morning)
Bus from Sde-Boker to Beer-Sheva (Fri noon)
Number of family members joining
*
Choose
0
1
2
3
Submit
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