* 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*:
(Check if it is correctly. All correspondence will be sent to this email address.)
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 February 2009
night 26/27 February 2009
night 27/28 February 2009
Transportation:
transfer to Serock on 25 February 2009 :*
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 February 2009 (at 14:00):*
Yes
No
Foundation for Polish Science provides accommodation and meals from February 25-28, 2009, plus above transfers according to the workshop programme.
Presentation:
Preliminary title of your presentation:
Remarks for secretariat:
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