Registration form

Name:

Affiliation:

Address:

Title of presentation:

Type of room (single, double or cabin)

Conference Fee payments (status):

Date of arriving to Björkliden: 

Date of departure from Björkliden:

Request on train in Sweden:

e-mail:

Tel:

Fax:


Please fill the form and send by e-mail to  kuzmin@fy.chalmers.se.