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Draft Pre-registration Form for Syktyvkar 2000************************************
Please complete and return to:
Anna Antoshkina
CAPV-2000
Instute of Geology, Komi Science Centre,
Uralian Division of Russian Academy of Sciences
54 Pervomayskaya St.
167610 Syktyvkar
RUSSIA
Fax: 821 2 425 346
e-mail: Antoshkina@geo.komi.ru
CAPV-2000
Pre-registration Given Name:
Initial(s): Family Name: Title: Sex (M/F):
Institution:
Address (street):City:
Postal code:Country: State: Phone:
Fax:
e-Mail:Please underline:
I shall attendyes probably and intend to be accompanied by one two more accompanying persons I intend to give a lecture yes no I want to present a poster yes no I intend to submit an abstract (abstracts) entitled I intend to join excursion to the Subpolar Urals
pre-conference yes no
post-conference yes no I intend to join excursion to the Southern Timan yes no I need financial support
yes no I need an official invitation
yes no Signature
[Accommodation will be specified in future]