Документ взят из кэша поисковой машины. Адрес оригинального документа : http://www.ipa.nw.ru/conference/ahazard/regformeng.doc Дата изменения: Sat Mar 5 12:37:18 2005 Дата индексирования: Tue Oct 2 01:04:45 2012 Кодировка: Поисковые слова: южная атлантическая аномалия

Registration form

(for preliminary registration, send it before 15.05.2005 )




Registration form

|First name | |
|Family name | |
|Scientific degree, title | |
|Name of Institute (in full) | |
|Abbreviation of the Institute name | |
|Your position in the Institute | |
|Post address (in full) | |
|Phone | |
|FAX | |
|E-mail | |
|Title of your paper 1) | |
|Oral or poster 1) | |
|Are you speaker (demonstrator)? 2) |(Yes/ No) |


Notes:
1) In case of representation of several papers/posters, please number
them and use these numbers when answering next two questions. If you do not
present paper/poster, answer "No" in line "Title of your paper", and skip
next two lines.
2) Inscribe "Yes", if you are speaker or demonstrator of poster, in
other case inscribe "No".