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MCC 2009
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FROM BASIC
MOTOR CONTROL TO FUNCTIONAL RECOVERY VI 5 – |
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 MCC2009 Motor Control Conference:
Please type or print in BLOCK LETTERS!
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Motor Control Conference MCC 2009
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 (included in registration fee) 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) |
REGISTRATION FEES:
Full (early) registration up to 30 June:
Regular participants EURO, Students EURO, Accompanying persons EURO
Full (late) registration fee after 30 June:
Regular participants EURO, Students EURO, Accompanying persons EURO
PAYMENT to MCC2009:
you will be provided with BANK coordinates
CERTIFICATES OF ATTENDANCE of the
MCC2009 MOTOR CONTROL CONFERENCE
If you need Certificate of attendance of the MCC2009 Conference you will be handed at the closing Ceremony