Registration
(select&copy the content of this window, paste and edit into the MS Word document and e-mail to the organizer)

Mrs./Mr
First name
Middle name (optional)
Family name
Title
Institution
Address
Postal code
Country
E-mail
Phone
Fax
I want to present a paper:                       Yes                  No
Title of my presentation
Preferred form of presentation                Oral                  Poster
Number of accompanying persons
I would like to share the room with
I would like to take bus from Wroclaw to Ladek Zdroj
I would like you to book me a hotel room in Wroclaw before and /or after Seminar:

•    from 01.09.2007 to   02.09.2007        Yes                  No   
•    from 07.09.2007 to  08.09.2007         Yes                  No