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Registration Form |
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Personal data |
| Family Name |
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Title(s) |
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| First Name |
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| Institute |
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VAT No. |
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| Street and No. |
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| City |
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ZIP |
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| Country |
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| E-mail |
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Phone |
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I am the ISRM member
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Participation |
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In the Geo3M day only (free of charge)
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In the Geo3M day and Colloquium
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Conference contribution |
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Form of contribution:
Oral
Poster
None
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Please complete: a title of contribution, authors, key words (3-5), annotation (max. 100 words).
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Accomodation requests |
The conference fee covers only the accomodation on June 25-26, 2014.
In addition to that, I ask for the accomodation also on:
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June 23, 2014 (Ostrava)
June 24, 2014 (Ostrava)
June 27, 2014 (Mountain Hotel Solan)
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(Hotels and prices are available upon request)
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I prefer the accomodation in:
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Single room
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Double room shared with
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Notes, remarks |
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For the easier identification of your payment, the system will
generate unique digits that will be assigned to you.
Please use them at the payment as Details of payment.
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