4th Astronomical Conference
  16 - 18 September 1999

 R E G I S T R A T I O N   F O R M


Download ALL forms (LATEX or Postscript)
                 (Registration, Hotel Reservation, Paper Contribution, Payment)


Please complete the Payment Form as well.

Submit this form by normal post or fax to the Contact address of the Local Organising Committee.

Deadline for registration: 31 May 1999

  Direct questions to: isei@aegean.gr


Family Name: .............. First name: ............... Initials: .......

Title (Professor/Dr./Mr./Mrs./Miss/Ph.D. Student) .......................

Affiliation for Name Badge : ............................................

E-mail: .................................................................

Phone number: ...................... Fax number: ........................

Institution: ............................................................

Postal address: .........................................................

                .........................................................
                
Accompanying person(s): .................................................




  No. of Registration
  persons (until May 31, 1999)
  (EURO) (GDr)
       
General registration . . . . . . . . . . . . .
Person under 35 years old . . . . . . . . . . . . .
Hel.A.S. Member above 35 . . . . . . . . . . . . .
Hel.A.S. Member under 35 . . . . . . . . . . . . .
Accompanying Person . . . . . . . . . . . . .
       
  Total amount . . . . . . . . . . . . .

 
 

Will you be presenting a paper? (YES-Please complete the Paper Contribution Form / NO) . . . . .


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