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附 件 一<br />
YES CONGRESS 2009 - REGISTRATION FORM FOR CONGRESS PARTICIPATION<br />
Personal Data<br />
Surname: Mr. / Mrs. ………………………………………………………..........................................<br />
First name: …………………………… Title/Professional position: ……………………Age: ………….<br />
Company/Institution: ……………………………………………………<br />
Address: ………………………………………………………………..<br />
Postal code: ………………….. City: ……………………………………….<br />
Country: ……………………….<br />
Telephone: ………………………… Mobil: …………………………<br />
E-mail: …..……………………………<br />
I intend to:<br />
(Choose all that apply)<br />
____ Register for the Congress ____ Regular Participant ___ Student Participant<br />
____ Give an Oral Presentation<br />
____ I have already submitted an abstract<br />
____ Present a Poster<br />
____ I have already submitted an abstract<br />
____ Present my work at a Roundtable<br />
____ I have already submitted an abstract<br />
____I plan to submit an abstract<br />
____I plan to submit an abstract<br />
____I plan to submit an abstract<br />
____ Register for a Field Trip<br />
PLEASE NOTE! REGISTRATION IS ONLY VALID WHEN ALL CONGRESS FEES AND FIELD TRIP<br />
FEES HAVE BEEN PAID.<br />
Date: ……………………………….<br />
Signature: ………………………………………………………….<br />
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