PRE-REGISTRATION FORM

First Name 
Surname 
Title 
 
Affiliation 
 
Mailing address
City 
Zip code
Country 
Phone 
Fax 
E-mail 
Indicate the conference topic
 
I would like to attend the LUMDETR 2006 Conference
 
I would like to present a paper
 
Preferable type of presentation
 
I need a Visa to entry Ukraine 
 
Accompanying persons
 

If you have any problems with submission the form online, you can download registration form (MS WORD regform.rtf) and send it by e-mail to lumdetr2006@mail.lviv.ua as an attachment.