"4th Astronomical Conference; Registration Form"

4th Astronomical Conference
16 - 18 September 1999

R E G I S T R A T I O N F O R M

Download ALL forms (LATEX or Postscript)
(Registration, Hotel Reservation, Paper Contribution, Payment)

Please complete the Payment Form as well.

Submit this form by normal post or fax to the Contact address of the Local Organising Committee.

Deadline for registration: 31 May 1999

Direct questions to: isei@aegean.gr

You will receive a confirmation from the LOC as soon as your registration has been processed.

Family Name: .............. First name: ............... Initials: .......

Title (Professor/Dr./Mr./Mrs./Miss/Ph.D. Student) .......................

Affiliation for Name Badge : ............................................

E-mail: .................................................................

Phone number: ...................... Fax number: ........................

Institution: ............................................................

Postal address: .........................................................

                .........................................................
                
Accompanying person(s): .................................................

	No. of	Registration
	persons	(until May 31, 1999)
		(EURO)	(GDr)

General registration		. . . . . . .	. . . . . .
Person under 35 years old		. . . . . . .	. . . . . .
Hel.A.S. Member above 35		. . . . . . .	. . . . . .
Hel.A.S. Member under 35		. . . . . . .	. . . . . .
Accompanying Person		. . . . . . .	. . . . . .

	Total amount	. . . . . . .	. . . . . .

Will you be presenting a paper? (YES-Please complete the Paper Contribution Form / NO) . . . . .

. . . . . . . . . . .

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