PRE-REGISTRATION FORM:

Please send preregistration form to LOC: gmic-100@mail.ru  and conference secretary  toropina@mx.iki.rssi.ru

Surname: 
Given name: 
Title: 
Citizenship: 
Affiliation: 
Address: 
E.mail: 
Tel. 
Fax: 
Field of interest: 
Preferred form of contribution: 
          Oral     Poster 
Preferred accomodation: 
          Youth Hostel      ***Hotel    ****Hotel    *****Hotel 
Tick here if you plan an accompanying person

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Last updated on 15.01.04