Textové pole:   11^th international colloquium on regional sciences

                             June 18 – 20, 2008, Pavlov, Czech Republic

        registration form

   

   +--------------------------------------------------------------------------------------------+
   |Name, titles                               |                                                |
   |-------------------------------------------+------------------------------------------------|
   |Organization                               |                                                |
   |(full name)                                |                                                |
   |-------------------------------------------+------------------------------------------------|
   |Address of organization                    |                                                |
   |                                           |                                                |
   |                                           |                                                |
   |-------------------------------------------+------------------------------------------------|
   |Telephone                                  |            |Fax       |                        |
   |-------------------------------------------+------------------------------------------------|
   |E-mail                                     |                                                |
   |--------------------------------------------------------------------------------------------|
   |                                 |                                                          |
   |--------------------------------------------------------------------------------------------|
   |Title of paper:                                                                             |
   |--------------------------------------------------------------------------------------------|
   |                                                                                            |
   |--------------------------------------------------------------------------------------------|
   |PRESENTATION (choose only one possibility)                                                  |
   |--------------------------------------------------------------------------------------------|
   |       |oral presentation (Multimedia projector and computer will be available.)            |
   |-------+------------------------------------------------------------------------------------|
   |       |poster                                                                              |
   |-------+------------------------------------------------------------------------------------|
   |       |I want only publish my paper in the conference proceedings. I will not present it.  |
   |--------------------------------------------------------------------------------------------|
   |ACCOMMODATION (paid in advance)                                                    |
   |--------------------------------------------------------------------------------------------|
   |from 18^th June to 19^st June                                            |   yes   |   no   |
   |-------------------------------------------------------------------------+---------+--------|
   |from 19^st June to 20^nd June                                            |   yes   |   no   |
   |--------------------------------------------------------------------------------------------|
   |                                 |                                                          |
   |--------------------------------------------------------------------------------------------|
   |Date                 |                                                                      |
   |---------------------+----------------------------------------------------------------------|
   +--------------------------------------------------------------------------------------------+



               Send a completed registration form to  pavlov2008@econ.muni.cz before

                                           15^th May 2008

   

   The Masaryk University will send you an invoice for the registration fee and the accommodation
   on the basis of this registration form. The amount includes VAT. The invoice will be sent to
   this address:

   

   

   Organization                   
   Identification number                                  
   Street                                                 City        
   Post code                                              Country                                 

   

                   The final paper you can send to pavlov2008@econ.muni.cz before

                                           15^th May 2008