Project member registration form

Mandatory fields are marked with *

First name*: Surname*:

Home Institute*:

Home Institute email address:

CERN account email address*: (To create a CERN external account click here)

Involvement*:

WP1 Project Management and Technical Coordination
WP2 Accelerator Physics and Performance
WP3 Magnet Design
WP4 Crab Cavities
WP5 IR Collimation
WP6 Cold Powering
WP7 Machine Protection
WP8 Collider-Experiment Interface
WP9 Cryogenics
WP10 Energy Deposition & Absorber
WP11 11-T Dipole Two-in-One for DS
WP12 Vacuum
WP13 Beam Diagnostics
WP14 Integration & (De-)Installation
WP15 Hardware Commissioning
WP16 High-Energy LHC - Studies
WP17 High-Field Magnets - R&D FRESCA2
Collaboration Board (CB)	Member

Telephone*: Fax: Mobile phone:

Postal Address*:

Comments* (please state here which specific tasks you are involved in)