REGISTRATION FORM

NAME:

---

POSTAL ADDRESS:

---

E-MAIL:

---

FAX:

---

I WISH TO PARTICIPATE: (YES, NO, NOT YET DECIDED)

---

I WISH TO PRESENT A TALK ENTITLED:

---

PLEASE; RESERVE A SINGLE (DOUBLE) ROOM:

---

ARRIVE ON:

---

LEAVE ON:

---

QUESTIONS OR SUGGESTIONS:

---

Please, send to:Faldt@tsl.uu.se
Or Fax:  46-18-471-3513

Back to the main page