2007

Registration form

The '*' marked fields are mandatory.
Don't use "carriage return"

Name*:
First name*
       Title: 
Afilliation*:

Telephone:  Fax: 
E-mail: 
Postal address*:

I wish to participate at "PIM-2007 Conference" with the contribution (paper 1)*:


Author(s)(paper 1)*:

My option for the presentation (paper 1) mode is*:
poster
oral presentation
I wish to participate at "PIM-2007 Conference" with the contribution (paper 2):


Author(s)(paper 2):

My option for the presentation (paper 2) mode is:
poster
oral presentation
I wish to participate at "PIM-2007 Conference" with the contribution (paper 3):


Author(s)(paper 3):

My option for the presentation (paper 3) mode is:
poster
oral presentation
Arrival date (dd/mm/yyyy):
I will be accompanied by persons