Registrationform IPA Spring Days 1999

Name:
Badge name:
Affiliation:
Address:
Town:
Country:
Phone:
E-mail:
Date of arrival:
Date of departure:
Diet:
Standard
Vegetarian
Room:
Single
Share
(Ph.D. students are supposed to share a room)
Participant:
Speaker
Ph.D. student
Speaker/Ph.D. student
IPA member
Member of an associated research shool
Associated member
Other participant
Other information: