Brdo '97 Registration and Accomodation Form

Vth INTERNATIONAL SYMPOSIUM ON PROTEINASE INHIBITORS AND BIOLOGICAL CONTROL
October 4-8, 1997

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Yes, I would like to participate at this year's Brdo conference. Here is the data about myself: 

Name:

Title: Dr. Prof. Mr./Mrs.

Address:

Telephone:
Telefax:
Email:
Active participation: Yes No

I need hotel accomodation for person(s) from:
Arrival date:

Departure day:

I understand that there are no single-bed rooms available. Thus, I would like to share a double-bed room with

Field of interest:
Structure
Apoptosis
Clinical aspects
Function & Mechanism
Multiple items may be chosen.

Title of my contribution:


Remarks:

Thank you for filling the form. We will E-mail you a notice confirming the receipt of your registration as soon as possible. About your attendance and specific participation (poster, oral presentation, invited speaker) at the Symposium you will be informed after July 15, 1997.

Version 1.3 * June 18, 1997; format improved July 11, 1997