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REGISTRATION FORM
Your browser will attempt to submit this form by email. If it is not
configured to send emails, you may have problems submitting the form.
In this case, please download, fill and send the Plain Text Registration Form
to the LOC at berlin04@mpifr-bonn.mpg.de.
If everything else fails, you can also print out the form, and submit it by
fax to: +49 228 525 438
Please check that your name appears in the list of participants which is updated
daily. Please contact the LOC if you
don't find your name in the list.
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General Information
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Title, Firstname, Surname:
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Name to appear on badge:
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| Affiliation:
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Address:
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City:
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State:
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Postal Code:
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Country:
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Telephone:
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Fax:
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Email:
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I need a visa for Germany:
Please consult the visa requirements for Germany.
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Working group:
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Accommodation Reservation
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Arrival:
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May, 2004
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Departure:
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May, 2004
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Accompanied by:
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persons
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Hotel/Room:
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Steglitz International
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Meals and Special Requests
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Dietary requirements:
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Other health or access requirements:
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Conference fee:
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200 €, to be paid at the registration desk. All major credit cards are
accepted. The fee covers all coffee breaks and lunches, the conference diner,
and a copy of the proceedings. If your institute requires the payment to be
made via bank transfer, please download the bank details for the conference account.
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Will be attending the conference dinner:
Please be advised that the cost of the dinner is included in the conference fee and cannot be
deducted from the fee in case you are not planing to attend the dinner.
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Number and names of guests accompanying you to the conference dinner:
The dinner will cost 50 € per person for accompanying persons. This
amount will added to the conference fee.
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Social Program
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In case of sufficient interest, a boat tour of Berlin (May 19) and a
guided tour of an exhibition of masterpieces from the New York Museum of Modern Art
can be organized for the accompanying persons, as part of the
social program. You can sign up for these tours below.
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Boat tour of Berlin
(10 € per person)
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persons
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Guided tour of exhibition from the New York Museum of Modern Art
(10 € per person)
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persons
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