Registration Form

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* requested fields

Title*:

Prof.

Dr.

Msc.

Mr.

Mrs.

Ms.

Family Name*:

First Name*:

Institution*:

PhD awarded (mm-yyyy)

Institution Address:

Street*:

Zip code*:

City*:

Country*:

Telephone:

Mobile Phone:

Fax:

e-mail*:

Accommodation*:

Single room:

Double room:

Private accommodation

I would like to share double room with:

Please mark your hotel reservation (if you wish to extend your stay please contact conference secretariat)

night 25/26 June 2008
night 26/27 June 2008
night 27/28 June 2008

Transportation:

transfer to Serock on 25 June 2008:*

From the Warsaw Frederic Chopin Airport at 10:30
From the Emilia Plater Street in front of Palace of Culture and Science (Congresa Hall) at 11:30:
transport on my own

transfer to Warsaw on 28 June 2008 (at 14:00):*

Yes
No

Foundation for Polish Science provides accommodation and meals from 25-28 June 2008, plus above transfers according to the workshop programme.

Presentation:

Preliminary title of your presentation:

Remarks for secretariat: