Pre-Registration

Surname:

First name:

Title/position: 

Institution/Organisation: 

Mailing address: 

Phone: 

Fax: 

E-Mail: 

Accompanied by (family members/guests): 

Mark the appropriate box with [*] 

        [ ]   I/we plan to attend the conference. 

        [ ]   Please send me the second circular. 

        [ ]   I/we intend to submit a paper /exhibit the products 

              provisionally entitled: _________________________________________ 

For 

        [ ]   Oral         [ ]   Poster Presentation 

        [ ]   Interested in presenting a model/exhibit a product(s). 

        [ ]   Interested in hiring an exhibition stall/cubicle. 

Signature:                                           Date: