CHEMSTAT 2004, International Chemometrics Conference PARDUBICE, August 30 - September 2, 2004

REGISTRATION FORM - Download the detailed PDF registration form

Required information
Title
Given name(s)
Surname
Institution/Company
Department
Mailing address
Country
E-mail
Special fee(check max 1 item) COMPSTAT 2004 participant
Appliant for reduced fee yes For selected countries only, need prior approval from organizer, for list of countries see http://unstats.un.org/unsd/demographic/social/inc-eco.htm

Student

 yes (please email IASC card photocopy, valid card must be presented at reception)

Additional information
Gender male female
Telephone number
Fax number
Personal WWW page
Excursion&Party yes(60) no
Lunches yes(70) no
Vegetarian yes no
Accomodation from Aug 29 throught Sep 2 2004 Hotel (220) Student Hotel (90)
Method of payment Bank Transfer (send invoice) Credit card

Contribution
Title
Topic
Mode of presentations as suggested by author Oral Poster

 

Accomodation and meals are provider for the whole conference, reductions are not available.
Please fill in the form and send it.
TRILOBYTE, CHEMSTAT 2004, Jiráskova 21, CZ-530 02 PARDUBICE, CZECH REPUBLIC, EUROPE