VURUP - 41st IPC - Final Application Form

Final Application Form

41^st International Conference on Petroleum,
October 6^th - 8^th, 2003
Bratislava, Slovak Republic

Please don't use diacritics.


Title:
Name:
First Name:
Company / Institute:
Position:
Address:
City:
State:
ZIP:
Country:
Tel. No:
Fax No:
E-mail:

Yes
I wish to present our company (firm) or product:

I wish to publish an adverstisement in the proceeding
of the Conference material of our company
in the extent of pages

Evening programme
Conference dinner, Tuesday, October 7^th, 2003	I will attend: ( more info )

Bank transfer to:	VUB, a.s. Pobočka Bratislava Ruzinov Jasikova 8 827 61 Bratislava 212, SK
SWIFT Code:	SUBA SK BX
Account:	1164813758/0200

You are kindly requested to mail a copy of your bank-draft
together with your Registration Form to the conference secretariat

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