REGISTRATION FORM

All participants are kindly requested to complete this form and submit it before February 1st, 2010;

Registration fee is 100 € (Euro) or 9000 dinars.

Participant

(The form will be activated in November)
Title:
First name:
Last name:
Affiliation:
Mailing Address:
  
Street:
Postcode / City:
Country:
E-Mail
 

Method of Payment

Registration fee is payable via the bank account:

INTERMEDIARY:

- to be published later-

ACCOUNT WITH:

-
BENEFICIARY: -