REGISTRATION FORM
Name (Prof.,Dr.,Mr.,Mrs.,Ms.): |
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Mailing Address: | |||
Telephone: | |||
Fax: | |||
E-mail: | |||
Position: | |||
Institution: | |||
Passport data: | |||
Flight Schedule: | |||
I would like to accept participation in a conference, not acting with the report: | |||
I shall take participation in a conference and shall act with the report on a theme: | |||
Subject for the report: | |||
Necessary time for the report: | min. | ||
Reserve my accommodation at the Hotel: | from to Nov 2000. | ||
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