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Registration form for the 5th
IMACS
conference
June 2 - 6, 2014 Roznov pod Radhostem, CZ
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Personal data |
| Title |
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| Family name |
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| First name |
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| E-mail |
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| Institution |
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| Street and No. |
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| Zipcode and City |
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| Country |
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I shall be accompanied by
(non-scientific) persons
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I am the IMACS member
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I am a student
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I am applying for SPOMECH support
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Accomodation requests |
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I ask for the accomodation in the hotel
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| Check in |
I could share a two bed room with:
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| Check out |
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The conference takes place in the hotel Relax. The hotel Eroplan is in a distance of 10 minutes by walk. The
organizers encourage the participants to use two bed rooms if acceptable.
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Contribution type and title |
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Special requirements (e.g. vegetarian meal) |
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Remarks or messages to organizers |
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Important warning |
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For the easier identification of your payment, the system
will generate unique digits that will be assigned to you
during the final registration. Please use them at the payment
as Details of payment. If you would be unable to use
them please inform the organizers by e-mail.
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