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NGCM2004
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Registration Form for NGCM2004 School

Those who want to participate in NGCM2004 Symposium should fill out a different registration form at http://asdn.net/ngcm2004/registration.shtml and they will be automatically enrolled for School. This form is only for participants, who do not attend the NGCM2004 Symposium. The School is sponsored by Jagiellonian University and is free for region's students, scientists, and engineers.

Please fill in the blanks below (at least the fields
marked red though we would really prefer your complete
contact information) and click on the button when finished.
Please use only LATIN letters, no diacritical marks -- we cannot process them!.
Title
 First Name
 Middle Name
 Last Name
Position
 Organization
Department
POB/Mail Stop
 Building
 Street Address
City
 Province/State
 Postal Code
 Country
Telephone
 FAX Number
 E-mail (e.g., joe@inst.fr)

Please fill in the blanks above and click on the button when finished.
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