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Дата изменения: Mon Apr 26 14:19:50 2004
Дата индексирования: Tue Oct 2 14:03:07 2012
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Memorial international conference dedicated to 100-th anniversary of George Gamow

  ACCOMODATION AND REGISTRATION  FORM

All participants are requested to fill in this Accommodation and Registration forms and send them to us before May 31, 2004 (via electronic mail to LOC gmic-100@mail.ru ).

ACCOMMODATION FORM 

Name:

.......................................................................

Email: .......................................................................
Country:  .......................................................................
Hotel and Room class: .......................................................................
Arrival: date, time (railway or airport) .......................................................................
Departure: date, time (railway or airport) .......................................................................

If you have requested double room or triple room, and wish to share with specific participants, please indicate that person's name here .......................................................................

Please, indicate your arrival and departure information, without  which we cannot arrange to meet you.

 

FINAL  REGISTRATION FORM

Name (to appear in the badge):  .......................................................................
Institute (to appear in the badge): .......................................................................
Address: .......................................................................
Email: .......................................................................
Telephone .......................................................................
Fax .......................................................................

I wish to contribute Talk ... Poster ...

Demonstration requirements (please mark with *):
Overhead ( ) Slides ( ) Video ( ) PC+Projector ( )

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Last updated on 26.04.04