SPIN-Praha-2003

Symmetries and Spin

July 12-19, 2003

Prague, Czech Republic

REGISTRATION FORM

Deadline: June 20, 2003

Please fill in this form to register to Spin-Praha-2003. We also accept e-mail with the same information, but electronic submission of this web form is strongly preferred.

Registration

Prof. Dr. Mr. Ms. Other:

Family name:

Name(s):

Institution (full name):

Home Institute address:

Phone (office):

FAX:

E-mail:

I am planing to give a talk:
Preliminary title:

Preliminary arrival date:

Preliminary departure date:

I am planing to reach Prague by plane, flight N

by train, N

by car

Visa Information

If you need the visa for Czech Republic, please, specify

Date, month and year of birth:

Sex:

Citizenship:

Passport number:

Date, month and year of issue:

Date, month and year of expiration:

Place of applying for the visa:

(country and city in which the Czech Consulate is available)

Accompanying Person(s)

Name(s):

(children under 16, if any, name and year of birth)

Housing Reservation

I take care of the accommodation by myself

I will use the service of Organizing Committee and book

	- Hotel in Prague Historical Centre,	(****) standard
		Single room, 90 EUR/night
		Double room, 100 EUR/night
	- Hotel in Prague Historical Centre,	(***) standard
		Double room, 40 -- 55 EUR/night
	- Hotel Corinthia Panorama,	(****) standard
		Single room, 60 EUR/night
		Double room, 70 EUR/night
	- Charles University Guest House
		Double bed studio, 30 EUR/night
		car parking
	- Charles University Hostel
		Double bed room, 18 EUR/night

I will share room with:

I would like to draw attention of the Local Organizing Committee to the following requirements and/or comments:

Comments:

Last modified: April 21, 2003 by Elena Kolganova