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	……………. …………….
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) …………….. …………….. …………….. …………….. …………….. …………….. ……………..
* 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	…………… …………… …………… ……………
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)