Download part 3 of the issue - Uniwersytet Opolski

REGISTRATION FORM for the ECOpole’12 CONFERENCE
Surname and First Name ........................................................................................................................
Scientific Title/Position ..........................................................................................................................
Affiliation ...............................................................................................................................................
Address ...................................................................................................................................................
Phone/fax ............................................................... email .....................................................................
Authors and title of presentation ............................................................................................................
.................................................................................................................................................................
.................................................................................................................................................................
.................................................................................................................................................................
KIND OF PRESENTATION
Oral
Poster
Taking part in discussion
ACCOMODATION
YES NO
10/11 X 11/12 X 12/13 X
Yes No Yes No Yes No
MEALS
Date Breakfast Lunch Dinner
10 X --- ---
11 X
12 X
13 X ---
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