Registration form for International Lichenological Excursion to Armenia (15-23 June, 2015)

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Please fill the registration form in English language.

Title *

First Name *

Last Name *

E-mail

Tel.: *

Please include international code

Organizational affiliation *

Please provide name of affiliated institution, research center, university, NGO etc.

Position *

Did you apply for Young Lichenologists Grant? *

Yes

I verify *

I agree to collect and provide duplicates of all materials to organizers

I agree to identify collected materials and to provide data to organizers

I agree to be co-author of paper in the journal Flora Mediterranea

Required

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