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LEIS workshop 2017 - registration form
CEITEC BUT, Purkyňova 123, 612 00 Brno
11th – 12th May 2017
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Email
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Your email
Name
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Institution
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Assumed form of your participation
oral contribution
poster
attendant
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Oral or poster presentation (Topic, Title)
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Note
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Would you like to join us at Wednesday (around 19:00) for informal meeting?
Yes
No
Maybe
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Do you have special needs concerning workshop dinner at Thursday?
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Would you appreciate our help with booking accommodation?
Yes
No
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A copy of your responses will be emailed to the address you provided.
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