Registration - EuroComb 2003
Prague, September 8 - 12
Mr.
Ms.
Given name:
Family name:
Address:
Phone:
Fax:
E-mail:
Name and affiliation
for the name tag
(write accents in TeX):
Date of Arrival:
Date of Departure:
Accompanying person(s)*:
No
Yes Number of accompanying persons:
Preferred accomodation:
Campus dormitory
Hotel Wienna
none
Single
Double I wish to share room with:
Registration:
Full
Student Additional banquet tickets:
Payment:
Bank transfer
Credit card
Specials (dietary
requirements, etc.):
*) Accompanying persons are not supposed to attend the scientific program.
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