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Participant Registration Form




НазваParticipant Registration Form
Дата29.05.2012
Розмір5.45 Kb.
ТипДокументи

Participant Registration Form

Ceremonies on the occasion of the 350th Anniversary

of the Ivan Franko National University of Lviv foundation

10-11 October 2011


Last Name _______________________________________________________________


First Name ____________________________________________________________________


Patronymic ______________________________________________________________


Organization/Institution________________________________________________________


Position__________________________________________________________________


Contact Telephone / Fax_________________________________________________


E-mail ________________________________________________________


Do you need accommodation assistance

(dormitory or hotel) ? ___________________________________


Date and Time of Arrival_____________________________________________________


Date and time of departure ________________________________________________________


Special needs/Requests, Names of accompanying person(s), if any.

_________________________________________________________


Please complete the form and email it to lnu350@gmail.com or notify us by telephone (032) 239-40-40.


THANK YOU!

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