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Registration Form International Conference

Registration for Conference 10-11 May 2007

Mr/Ms (Required)

Mr Ms

First Name (Required)

Initials (Required)

Last Name (Required)

Full Name (Required)

E-mail (Required)

Institution (Required)

Address (Required)

Postal code

City (Required)

Country (Required)

Phone (Required)

Fax

I would like to register for:

Thursday and Friday 10 and 11 May
Thursday 10 May
Friday 11 May

Conference dinner on 10 May (Required)

Would you like to join the conference dinner on 10 May?

Yes
No

Special Dietary requirements

Understanding of English (Required)

Do you understand English?

Yes
No (I need interpretation)

Interpretation

What is your language of preference?

In the picture below you will find a word. This word is your personal validation code to protect you and us from spam. Please type this word in the field below. (Required)

If you have any questions about the conference or your registration, please contact Mercator

Latest news:

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