NAME:
AFFILIATION:
ADDRESS FOR CORRESPONDENCE:
E-mail ADDRESS:
PHONE:
FAX:
IF YOU ARE A GRADUATE STUDENT OR RECENT PHD PLEASE INDICATE YOUR MAIN RESEARCH INTERESTS AND THE NAME OF SOMEONE WILLING TO SEND A RECOMMENDATION LETTER ON YOUR BEHALF IF NEEDED:
DO YOU WISH TO GIVE A SEMINAR (PLEASE NOTE THAT IT MAY BE IMPOSSIBLE TO ARRANGE A SLOT FOR EVERYONE DUE TO THE TIGHT SCHEDULE)?
IF YES, PLEASE SEND US THE TITLE and a SHORT ABSTRACT (prefereably with a list of references):
PLEASE INDICATE THE DAYS FOR WHICH YOU NEED HOTEL RESERVATION: ARRIVAL DATE: DEPARTURE DATE:
ACCOMPANYING PERSON(S):
TYPE OF ACCOMODATION (SINGLE, DOUBLE, SHARED DOUBLE): IF YOU REQUIRE FULL OR PARTIAL FINANCIAL SUPPORT IN ORDER TO ATTEND, PLEASE EXPLAIN YOUR SITUATION. (PLEASE NOTE THAT IT IS QUITE LIKELY THAT NO SUCH SUPPORT WILL BE AVAILABLE):