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                      REGISTRATION FORM

      Please provide the following information, then click Submit:

      Note:
      Fields marked by * are required.

*First Name:   
*Last Name:   
*Affiliation:   
Contact Address:   
*Country:   
*Email:   
*Phone:   
Fax:   

*Do you intend to deliver a 20 minutes talk?    yes no

*Where you prefer to stay?   

dormitory (single room)
hotel

*Can you support yourself in part?   

yes no


	Please submit your comments or questions in the field provided bellow:

	
	

 


Last modified: August 05, 2002