Registration form for the participants of the symposium LENCA-3

27-30 June, 2006 Tomsk, Russia

 

Please, fill out the form and e-mail the completed form to the Organizing Committee at lenca3@gmail.com by March 30, 2006.  

Registration fee will be accepted on-site on the first day of the conference.

Title of the presentation

 

Last name, First name

 

Affiliation (university, department)

 

Position

 

Degree

 

Postal address (including ZIP code)

 

e-mail

 

Date of arrival/departure to/from Tomsk

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Will you be staying at the hotel of the business-center “Tom”?  

If yes, what is your room choice (see info):

- One-room single (max.2 pers. share/room)

- One-room double (max.2 pers. share/room)

- Two-room apartment (2 persons)*

- Two-room VIP(a) apartment (2 persons)*

- Two-room VIP(b) apartment (2 persons)*

- Three-room apartment (2 persons)*

- Three-room VIP apartment (2 persons)*

 

(yes/no)

 

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* Accommodation of more than two clients at the room (than stated above) is carried out with an additional payment of 20% of the room’s cost.

Required presentation equipment (PowerPoint equipment, overhead)

 

Registration fee:

- 300 RUB. for Russian graduate students

- 600 RUB. for Russian participants

 

- 30 EUR for foreign graduate students

- 60 EUR for foreign participants

 

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Do you need an official letter from the Organizing Committee confirming your symposium participation? If yes, please, give the postal address or e-mail.

 

Please indicate if  you would like to attend the post-conference dinner at an additional cost of 350 RUB ( payable with the registration fee)

(yes/no)