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MCC 2007 |
FROM
BASIC MOTOR CONTROL TO FUNCTIONAL RECOVERY V 30 September - 03 October 2007 |
Please complete this REGISTRATION FORM
REGISTRATION FORM
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Motor Control Conference MCC 2007 |
PARTICIPANT
Information:
Please complete the following form
carefully. The information you provide will allow as to
correspond with you efficiently
and will be also used for your participant badge at the MCC2007 Motor Control Conference:
Please type
or print in BLOCK LETTERS!
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PARTICIPANT Surname:___________________________________Initials:______ First: name:___________________ Tittle: ___________ (Prof. Dr. Mr. Mrs. Ms ) Address of the Participant: _______________________________________________________________________ Institution:____________________________________________ Department ___________________________________________ No:__________Street ____________________ City_______________________State/_______________________COUNTRY____________ Telephone (country code/city/number)____________________________ Fax:______________________ Special requests: ____________________________________________ ACCOMPANYING PERSONS: Surname:___________________________Initials:______First name:__________________ Surname:___________________________Initials:______ First name:_________________ Special requirements: ____________________________________________
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I will be attending the Get Together PARTY (included in registration fee) |
YES / NO |
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I will be attending the Evening Motor
Control Conference DINNER (included in registration fee) I will be attending the FOLK DANCE DINNER (not included in registration fee) |
YES / NO YES / NO |
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REGISTRATION FEES:
Full (early) registration:
regular participants EURO
students EURO
accompanying persons EURO
Full (late) registration fee:
regular participants EURO
students EURO
accompanying persons EURO
PAYMENT:
the details will follow
Cancellation policy:
Refund of Registration Fees will be made as follows:
Post marked prior to 15 August full refund less EURO handling fee
Postmarked after 15 August no refund
CERTIFICATES OF ATTENDANCE of the
MCC2007 MOTOR CONTROL CONFERENCE
If you need Certificate of attendance of the MCC2007 Conference you will be handed at the closing Ceremony