Registration Form


Family name (as in passport):

First name:

Patronymic/Middle name:

Affiliation (institution name and address)

 

  Affiliation:

  Position:

  Address:

  City:

  Postal code:

  Country:

  Fax (office):

  Phone (office):

  Phone (home):

  e-mail:


Accommodation information

We suggest you the Hotel "Derzhavinskaya" (payment on your arrival) .

  • Standart - 2200 rub per day
  • Semi-lux - 3200 rub per day
  • Lux - 6000 rub per day

Breakfast is included. (The 02.02.2010 ruble rate is: 1 US = 30.18 rub, 1 euro = 42.05 rub.)

Please, fill in the form:

I need a hotel:

yes no

Date of arrival to Tambov:

Date of departure from Tambov:

The types of rooms:

Accompany persons (number) Click on arrow and choose from the list

I intend to give a talk:

yes no

   

Title:

   
We ask you to attach (preferably in TeX) the abstract of your talk
(at most half of a printed page). All abstract will appear in the printed program of the conference. We hope for your understanding if time limits do not allow everybody to lecture.

Abstract:

   

If you need to update your information, fill in this form again. We will use data from your last submission.

If you need a visa, please, fill in the VISA FORM also.

The deadline for filling-in the visa form is March, 27.


Fill in the above APPLICATION FORM and press the SUBMIT button