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Registration form

 

For registration, please provide Organizing Committee with the Registration Form (see bellow) by e-mail (before June 1, 2011)

 

REGISTRATION FORM


First Name ___________________________________________________________
Last Name ___________________________________________________________
Title: ________________________________________________________________
Institution: ____________________________________________________________
Address: _____________________________________________________________
Phone: ______________________Fax:_____________________________________
E-mail: _______________________________________________________________

Provisional title of my talk/poster __________________________________________
Accompanying person(s) ________________________________________________
_____________________________________________________________________
I consider to participate in the field excursion _Yes(No)