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MCC 2010
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FROM BASIC
MOTOR CONTROL TO FUNCTIONAL RECOVERY VI 24 – |
Please complete this REGISTRATION FORM and send by Email
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 MCC2010 Motor Control Conference:
Please type or print in BLOCK LETTERS!
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Motor Control Conference MCC 2010
REGISTRATION FORM 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:______________________
Email:_____________________ Special requests: ____________________________________________ ACCOMPANYING PERSONS: Surname:___________________________Initials:______First name:_______________ Surname:___________________________Initials:______ First name:_______________ Special requirements: ________________________________________ I will be attending the Get Together PARTY I will be attending the Evening Motor Control Conference MCC DINNER I will be attending the FOLK DANCE DINNER |
REGISTRATION FEES:
Full (early) registration up to 30 June:
Regular participants 360 EURO, Students 180 EURO, Accompanying persons 150 EURO
Full (late) registration fee after 30 June:
Regular participants 400 EURO, Students 200 EURO, Accompanying persons 150 EURO
PAYMENT to MCC2010:
you will be provided with BANK coordinates
you will be handed CERTIFICATE OF ATTENDANCE of the
MCC2010 MOTOR CONTROL CONFERENCE