SPEAKER   PROPOSAL   FORM

   

    International conference

   

   Mgr. Světlana Hanušová, Ph.D.,  katedra anglického jazyka a literatury PdF MU, Poříčí 9, 603
   00 Brno, Czech Republic. 

   tel.: +420 549 49 42 06, fax: +420 549 49 1620, e-mail: hanusova@ped.muni.cz

   

   

   Family name: ...........................................         First name:
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   Institution:
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   Title of presentation:
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   Summary of Presentation (max. 100 words)

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   Equipment Requirements (Please, indicate):

   (   ) cassette recorder                            (   ) videorecorder + TV (VHS/PAL/NTSC)

   (   ) OHP                                              (   ) data projector    
                                              

   (   ) other (please, specify) .......................................