Euler IMI

Algebraic Geometry, K-theory, and Motives

(a conference dedicated to Andrei Suslin's 60th birthday)

St. Petersburg, Russia
June 25-29, 2010

Registration Form

Family name (as in passport):

First name:

Patronymic/Middle name:

Affiliation (institution name and address)






  Postal code:


  Fax (office):

  Phone (office):

Phone (home):


I need a hotel:

yes no

Date of arrival:

Date of departure:

Please, give the details about the type of room you wish and
the persons you wish to share the room with :
number of rooms: Click on arrow and choose from the list
shared with:
price per room:
number of persons: Click on arrow and choose from the list

If you need a visa, please, fill in the VISA FORM also.

Fill in the above APPLICATION FORM and press the SUBMIT button