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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