QFTHEP'99

pre-registration form

I plan to attend the XIV International Workshop in Moscow (Russia), May 27 - June 2, 1999.
Family name: First name: Sex (f/m):

Position(title):

Organization:

Mailing address:

City:
Code:
Country:

Phone:

FAX:

E-mail:

Accompanying persons (yes/no):

I would like to present a report tentatively entitled:

(Definite title and abstract should be submitted before April 20, 1999)

Abstract:

The Organizing Committee would like to remind you that entry visa must be obtained before entering Russia. To provide us with the information, which is necessary for processing your visa, please send us by post or fax a copy of your passport and complete the lines below:

Date of birth:

Passport Number:

Citizenship:

Location of the Russian Consulate to which you will apply for visa (town, country):

Arrival date: Departure date:


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Last update: February 1, 1999
qfthep@theory.npi.msu.su