"Groups: Geometric and Combinatorial Aspects"

PARTICIPATION-FORM

To be returned, either by ordinary mail or by email, to

NAME:

ADDRESS:

E-mail:

Fax:

I will participate in the conference "Groups: Geometric and Combinatorial Aspects":
Yes / No (adjust as appropriate)

Arrival in Bielefeld (day and time):

Departure from Bielefeld (day and time):

Kind of Transportation:

Proposed title of lecture:

Proposed length (60 min. max. including discussion):

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ROOM RESERVATION:

Number of persons (including yourself):

Double occupancy (indicate the name of a person with whom you

would be willing to share the room):

Single occupancy:

-End of Document-

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