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