REGISTRATION FORM

International Industrial Ecology Conference of the Visegrad Countries
8 June 2004, Budapest

I, the undersigned register for the conference. 

Name: 		 Position:	
Address:			
Telephone: 	Fax: 	 E-mail: 	
Please, send the invoice to the afollowing address:  								

 I plan to make a presentation at the conference. 
          (deadline for abstracts 9 May, for papers 31 May)

My payments are as follows:

 Conference fee (€40)	€....................

 Conference dinner (€15)	€....................

 Conference dinner for spouses (€20)	€....................

 Excursion (€5)	€....................

 Accommodation for .......  persons for the following nights:	€....................

              5 June       6 June      7 June      8 June

	Total:  €....................

 I need vegetarian menue.

Date:	

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