Registration form   
 Sponsored by





 

 Items related to B. Hatschek
 Information on the Symposium
Please fill the Registration Form below and then click on "Submit" button. You will receive confirmation by e-mail. In case of difficulties please use the form in rtf format  and send it by e-mail to Rocek@gli.cas.cz, with a copy to info@conference.cz (kindly write „Hatschek Symposium“ in Subject).

Surname:
First Name(s):
Mailing Address  
Institution:
Street:
Postcode:
City:
Country:  
E-mail:
My participation is sure:
I intend to give a talk
under the title:
   
I will need: Data projector
  Slide projector
  Other equipment
   
Number of
accompanying persons:
will need to help
with accommodation:
I am interested
in accompanying
persons‘ programme:
Questions, proposals: