Registration form for the 8th Czech and Polish Conference
GEOLOGY OF COAL BASINS
Ostrava October 19 - 21, 2011
Personal data
Title
Prof.
Dr.
Mr.
Ms.
Mrs.
Family name
First name
E-mail
Institution
Street and No.
Zipcode and City
Country
1
2
3
4
5
(non-scientific) persons
Accomodation requests
University residence, one bed room
University residence, two bed room
hotel Sport Club, one bed room
hotel Sport Club, two bed room
Check in
October 17, 2011 (Mon)
October 18, 2011 (Tue)
October 19, 2011 (Wed)
October 20, 2011 (Thu)
October 21, 2011 (Fri)
I could share a two bed room with:
Check out
October 19, 2011 (Wed)
October 20, 2011 (Thu)
October 21, 2011 (Fri)
October 22, 2011 (Mon)
October 23, 2011 (Tue)
The conference takes place in the Institute of Geonics AS CR.
Both the University
residence and hotel Sport Club are in a distance of 10-15 minutes
by walk.
Contribution type and title
I plan to give a lecture with a title:
I plan to display a poster with a title:
I do not plan to have a contribution
Special requirements (e.g. vegetarian meal) , remarks to organizers
