Coimbra
The 69th European Study Group with Industry 2009
University of Coimbra, 20th April to April 24th 2009
 

Home

Registration form

Study group

Travel and accomodation

Participants

Schedule

Contacts

Registration form

Please complete and submit the application form below before April 10th, 2009. The entries marked with an asterisk (*) are optional.

Last name
First name

Affiliation (organization/institution)

Address
                           Street
                     City
                           Postal code       Country 
E-mail                Homepage(*)
Phone number(*)                Fax number(*)
Will participate in banquet
Please indicate your intended participation dates
If you like to apply for finantial support, please include a short motivation
(only limited funding is available for accomodation) (*)