Final registration form

- Final Registration Form -

27^th congress of the RCRF Belgrade, Serbia 19 September – 26 September 2010

Final Registration Form

Title (Mr./Mrs./Miss/Prof./Dr.)            ..……………………
Family Name                                 ……………………………………………………………
First name                                      ……………………………………………………………
Address                    Street            ……………………………………………………………
                                                         ……….…………………………………………………...
                            Zip-Code            …………… Town ……………………...……………….
                              Country            ……………………………………………………………
Telephone/Fax                             ……………………………………………………………
Email                                               ……………………………………………………………
Institution                                       ……………………………………………………………
accompanied by full name            ……………………………………………………………
                                                         ……………………………………………………………
Lecture (15 min)         Title            ……………………………………………………………
                                                         ……………………………………………………………
             Way of presentation            CD   or   Slides   or   Video
or Poster                     Title            ……………………………………………………………
                                                         ……………………………………………………………
Arrival/Departure    dates            from: ………..………. to………………..

Excursion to Kladovo, Sept. 25-26:          I/we participate
              including one night            single room or: double room, shared with:
                                                         name: ………………………………………..……………

Addition of costs (please mark as appropriate):

1. Congress fee 210,- EUR × ….. persons =
2. Trip to Kladovo, Sept. 25-26 80,- EUR × ….. persons =

————————
TOTAL:

Registration Form

Go to the top