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Author Guidelines
CONFERENCE REGISTRATION FORM "Topical Issues of Aging in Terms of Comorbidity" Оctober 13, 2015
Name _________________________________________
Scientific degree, rank __________________
Position ______________________________________
Job_________________________________
Contact Address _____________________________
_____________________________________________
Phone _________________________________________
Fax ________________________________________
E-mail ________________________________________
Participation with:
Report
Poster
Publication
Technical Equipment
Multimedia Projector
Other
Hotel Booking
Yes
No
Meeting Arrangement
Yes (date)
No
Please book _______ seats for me
at hotel from _____ _______________ 2015
till _____ ______ ______________ 2015
________ ________________ Date and Signature