Registration

In order to register for the symposium, please print out the form or copy and paste it in a word document, complete and e-mail   to Mariana Kavroulaki via:
E-mail: mkavroulakis@gmail.com

Registration deadline: May 30, 2015.

There is no charge for the symposium.

First name  ________________________

Last name  _________________________

Profession _________________________

Home address ___________________________

Work address _______________________________

City _____________________________

Zip code ___________________________

E-mail ________________

Phone number _____________

Please check below:
Oral presenter_____  poster presenter_______ attendee ____

workshop____________ other________

To help us organize the dinners please check below:

I will be attending:

Dinner Saturday: Yes __   No  __

Dinner Sunday:   Yes __    No  __

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