Registration Form

 

Title:  
First name:  
Last name:  
Affiliation:  
City:  
Country:  
e-mail:  

 




 

PARTICIPATION IN THE CONFERENCE
Contribution title:  
Abstract:   The participants are requested to send an extended abstract of the talk
  electronically on the address foliations2016@math.uni.lodz.pl as an attached file(s)
  (TeX and PDF).
  The deadline is May 31, 2016.

 




 

ACCOMMODATIONS
Deadline June 30, 2016               

Date of arrival:

      July 2016

Date of departure:

      July 2016

I wish to book a hotel room:

    No           Yes  

Room:

    Single  
    Twin               Shared with:  

Accompanying person(s):

    number of accompanying persons: 

 




 

PAYMENT INFORMATION
  
The institution paying for the participant:  
Street address:  
City:  
State/Province:  
Zip/Postal Code:  
Country:  
NIP (VATIN):  
Invoice language:  

 




 


I need an invitation letter:

    Yes           No  

I prefer vegetarian:

    Yes           No