XVII International Congress of Linguists
REGISTRATION FORM

Note that you also have to send back the PAYMENT FORM to complete your registration.

 

Name: ................................................................................

Nationality: ........................................................

E-mail: ........................................................................................................

University: ................................................................................

Address: .......................................................................................................................................

Mailing address (if different from the University):  .........................................................................................
 
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Date of arrival: .........................................   Date of departure: .........................................

Accompanying person(s):   [  ] Yes   [  ] No

[  ] I intend to arrange accommodation in the hotel [name]: ............................................
[  ] I intend to arrange accommodation in the student residence.
[  ] I will make my own accommodation arrangements.

I would like to attend the banquet for the extra price of 60 EUR on July 28:   [  ] Yes   [  ] No

I would like to participate in the trip according my choice for extra price of approx. 40-50 EUR on July 27, 2003. Please circle the trip according to your choice:
A   B   C   D   E   F   G   H

Remarks and wishes:

 

 

Date: .....................................   Signature: ......................................................................