Author: Viktor
Last saved by: 1
Company: Hata

LUMDETR 2006
PRE-REGISTRATION FORM
First Name 	 Surname 	 Title 	
	
Affiliation 	
Mailing address 	
P.O. box 	 Street 	
City 	 Zip code 	 Country 	
Phone 	 Fax 	
E-mail 	
Indicate the confernce topic 	
I would like to attend the LUMDETR 2006 Conference	YES or NO
I would like to present a paper	YES or NO
If Yes, sign a preferable type of presentation	(oral, poster or exhibition)
I need a Visa to entry Ukraine	YES or NO
Accompanying persons