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THE APPLICATION FORM

№ 01 of 09.01.2008.

to take part at the International Science and Engineering Conference Machine-Building and Technosphere of the XXI Century which will take place on September 15-20th 2008 in Sevastopol

Last name ________________________________________________________

First name _______________________________________________________

The address: ______________________________________________________

________________________________________________________________

Place of work: ____________________________________________________

________________________________________________________________

Position: ________________________________________________________

Degree: _________________________________________________________

Tel (with the city code): _________________________________________

Fax: __________________________________________________________

E-mail: _______________________________________________________

The paper title: ___________________________________________________

________________________________________________________________

Authors: ________________________________________________________

The sum transferred: _______________________________________________

Cash order № ___________________ of _______________________________


The participants detailed information:

The report or communication at the Plenary Meeting (underline which is necessary).

The report, communication, stand report at the sections meeting (underline which is necessary):

1 2 3 4 5 6 7 8 9 10 11 (encircle)

Technical facilities: placards, slides, Polilyuks films (underline which is necessary).

The participants staying:

  • The college hostel ____ people (Streletskaya Bay),

56 euro per day;

  • holiday home ‘Stroitel’ ___ people (Sun beach),

2040 euro per day;

  • Hotel ‘Krym’ ___ people (Karantinnaya Bay),

2040 euro per day.

The accommodation payment is not included into the registration fee and is made in Sevastopol.

Your comments as to the work of the conference

________________________________________________________________

________________________________________________________________

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