String Pheno 09 registration form (plain text version)
please, fill in and send to sp09@fuw.edu.pl

1. Family name:
2. First name:
3. Home institute:
4. Address:
5. Zip and city:
6. Country:
7. Email:
8. Phone:
9. Fax:
10. Are you applying for a grant partly covering the registration fee?
11. Arrival date:
12. Departure date:
13. Will you attend the conference dinner?
14. If yes, how many persons will accompany you?
15. Would you like to give a talk?
16. If yes, is this material already available, e.g. as an arXiv preprint, or is it work in progress? Please provide title and abstract?
17. Is there any additional information concerning your participation in the conference, e.g. regarding special requirements, which we should have?