Registration form for participants and accompanying persons
Participant
First name:
Last name:
male
female
Title and position:
Affiliation:
Country:
City:
Zip code:
Street and no.:
Fax:
Tel.:
E-mail:
Date of arrival at Moscow:
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08
2009
Flight No.:
Time of Arrival:
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Date of departure from Moscow
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01
02
03
04
05
06
07
08
09
10
11
12
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08
2009
For my presentation, I will need:
overhead projector
video-recorder
media projector with PC
other
Additional information, comments:
Accompanying Person 1 (optional)
Name (please indicate whether she/he is a wife/husband, daughter/son, etc.):
male
female
Accompanying Person 2 (optional)
Name (please indicate whether she/he is a wife/husband, daughter/son, etc.):
male
female