16th International Summer School on

Brno, Czech Republic, August 8–12, 2011

Registration form

Please fill in the following registration form without diacritical marks

Family Name
Given Name
E-mail
Affiliation
Student or PhD student	Yes No
Gender	Male Female
I will present a poster	Yes No
Title
Accommodation
Arrival Day
Departure Day
	Student Hostel Druzba (20 EUR/night) – booked by organizers
	Other – booked by yourselves
Accompanying persons
Special wishes