XI Incontro Italiano di Combinatoria Algebrica - Maratea

  REGISTRATION & HOTEL BOOKING FORM

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Registration deadline: 24 July 2004

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PERSONAL INFORMATIONS

Last Name:
First Name:
Dept./Inst.:
Univ./other:
P.O. Box/Street:
ZIP Code:
City:
Country:
Telephone:
Telefax:
E-mail:

ACCOMODATION

Please, make a reservation in the Hotel Villa del Mare. (The rooms in the conference hotel Hotel Villa del Mare at Maratea will be reserved on a "first come-first served" basis.)

Arrival:    Departure:       (Day, Month, Year as DD.MM.YY),

Number of Nights:

Number of accompanying people:

I share my room with:

Other requests:
    

Any change in the reservation must be immediately notified to the general contact (mar04@pzmath.unibas.it)

 

SCIENTIFIC COMMUNICATIONS

I don't give any talks.

I would like to give a talk. Title of the talk (and/or abstract - not more than 50 words):
    

   Time for the talk:  (not more than 30 minutes)
 

form to it's initial values.
to the general contact (it's suggested to use Internet Explorer 5.5 or higher, otherwise Netscape Communicator 4.0 or higher)

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- ATTENTION! -   If you have any problem to send this form, ⇒go to this page

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Further informations to: