Registration form of the participant of conference \"avia-2011\" (Please, send this card before April 1, 2011) Surname Name icon

Registration form of the participant of conference "avia-2011" (Please, send this card before April 1, 2011) Surname Name




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НазваRegistration form of the participant of conference "avia-2011" (Please, send this card before April 1, 2011) Surname Name
Дата10.11.2012
Розмір16.48 Kb.
ТипRegistration form


THE REGISTRATION FORM OF THE PARTICIPANT OF

CONFERENCE "AVIA-2011"

(Please, send this card before April 1, 2011)


Surname




Name




Patronymic




Position




Degree




Organization




Address of organization

(with the postal index) *




The Web-server of organization




Phone




Fax




E-mail




Home address

(with the postal index) *




Subsection or section you would like to introduce the report




Title of the report




Visual and other aids for demonstration are needed




Whether the hotel is necessary?




Suspected date arrival at the hotel « » ____________ 2011

departure from the hotel « » ____________ 2011

The notice




*) Domestic address, telephone and e-mail will not be published and are necessary for more reliable communication with Organization committee.


The application is to be sent to the address:

1, Kosmonavta Komarova ave., 03680, Kyiv-58, Ukraine

National Aviation University, building №1, room 238,

Tel: (044) 406-71-56,

Fax: (044) 406-72-12,

E-mail: vtnik@nau.edu.ua

Web: http://avia.nau.edu.ua


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