Coimbra
The 69th European Study Group with Industry 2009
University of Coimbra, 20th April to April 24th 2009
 

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Registration form

Study group

Travel and accomodation

Participants

Schedule

Contacts

Registration form

Please complete and submit the application form below before April 10th, 2009. The entries marked with an asterisk (*) are optional.

Last name
First name

Affiliation (organization/institution)

Address
                           Street
                     City
                           Postal code       Country 
E-mail                Homepage(*)
Phone number(*)                Fax number(*)
Will participate in banquet
Please indicate your intended participation dates
 
If you like to apply for finantial support, please include a short motivation
(only limited funding is available for accomodation) (*)