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PRELIMINARY REGISTRATION FORM - INTERNATIONAL SYMPOSIUM "ASTRONOMY - 2005: CURRENT STATE AND PROSPECTS"
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INTERNATIONAL SYMPOSIUM
"ASTRONOMY - 2005: CURRENT STATE AND PROSPECTS"


PRELIMINARY REGISTRATION FORM


Please try to fill all the fields.
If you wish to present more than one contribution, please repeat the points 8 and 9 (find at bottom 8a, 9a, etc.)

1. Family name



2. Given name(s)



3. Patronymic



4. Affiliation



5. Mail address  



6. EAAS membership



7. To what section (workshop) do you wish to present your contribution?


8. The contribution title



9. The contribution preferable status



10. Do you need a hotel room?



11. Information about financial support you need (use Ctrl to select several topics)




12. e-mail address





7a. To what section (workshop) do you wish to present your contribution?


8a. The contribution title



9a. The contribution preferable status (oral/poster)*



7b. To what section (workshop) do you wish to present your contribution?


8b. The contribution title



9b. The contribution preferable status (oral/poster)*





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