DINNER RESERVATION
Reception at 6:00pm / Dinner at 6:45pm

The Pappalardo Community Room
The Green Center for Physics
MIT Building 4, 3rd floor overlooking Killian Court

Reservation Deadline
October 13, 2009

!

Please print the email confirmation of your dinner reservation and
send it with your payment.

Please make checks payable to:
"Massachusetts Institute of Technology"

Mail to:
Mehran Kardar
Department of Physics, 6C-315
Massachusetts Institute
of Technology
Cambridge, MA 02139

 

 


Your Full Name

Guest's Full Name

Your E-Mail Address

Daytime Phone #:

Please select the appropriate response for your attendance:

$50.00 Dinner ticket (in advance)
$55.00 Dinner ticket (at the door)

Please enter any medical/dietary restrictions:

  

 
 

 

Condensed Matter Theory
Massachusetts Institute of Technology
Building 6C
Cambridge, MA 02139