Registration form of ICNNAI'99

Please complete this form

Title:
Surname:
First Name:
Position:
Organisation:
Department:
Address:
City:
Country:
Phone:
Fax:
Email:
Title of the paper:

Will you attend the conference?
Yes No

Will you submit a paper?
Yes No

Date of arrival:
Hour of arrival:
Date of departure:
Hour of departure:

I need hotel reservation
Yes No

Number of nights:

11/12.10

12/13.10

13/14.10

14/15.10

15/16.10

Date: