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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 attendyesprobably and intend to be accompanied byonetwomoreaccompanying persons I intend to give a lectureyesno I want to present a posteryesno I intend to submit an abstract (abstracts) entitled

I intend to join excursion to the Subpolar Urals
pre-conferenceyesno
post-conferenceyesno I intend to join excursion to the Southern Timanyesno

I need financial supportyesno

I need an official invitationyesno

Signature

[Accommodation will be specified in future]