REGISTRATION FORM

DEADLINE:  28 January 2002
 

 
Surname (last name): 
First name: 
Institution: 
Address: 
Nationality: 
Passport number: 
Phone: 
Fax: 
E-mail address: 

Please send your credit card (VISA or MASTER) details to the LOC via fax only (Fax: +34 922 605210).
This information is necessary for the Registration Fee.


 
 

  
 



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Please complete and return this form to the LOC (Fax: +34 922 605210;  commast@ll.iac.es)

Webmaster: D. R. Gonçalves: invweb@ll.iac.es
Last modified: November 19, 2001