anichkov
Mathematics - XXI century.
PDMI 70th anniversary


September 13-18, 2010

Registration Form



Family name:
First name:
Patronimic/ middle name :
Country:
Affiliation:
Position:
Postal address:
Cell phone:
E-mail:

Talk


I intend to present:
   
Title:
   

I would like to participate in a cultural program:

yes no


Hotel


I would like the Organising Committee to arrange a hotel for me: yes no

Arrival (dd.mm):

Departure (dd.mm):

Please, give the details about the type of room you wish and the persons you wish to share the room with.
type of room: Click on arrow and choose from the list

shared with:

acceptable price range:

I would like to come with an accompanying person(s):
yes no

number of persons
Click on arrow and choose from the list

I would like the Organising Committee to issue a visa support doccument for me:
yes no


Please press SUBMIT to complete the registration.


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