Registration Form                      

Title:	-- Doctor PhD student Mrs Miss Ms Mr
Name (given):
Last (family) name:
Department:
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City:	Postal code:
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Are you a member of SPIE?
YES Name of chapter:
NO
Type of participation:	Oral Poster None
Title of your presentation:
******************** Authors notification:	All abstract should be sent to Szymon Tamborski ( sodalis@fizyka.umk.pl ) up to 15th April 2010 !
Date of arrival	Date of departure
---   12th May 2010 13th May 2010 14th May 2010 15th May 2010 16th May 2010	---   value=14_3_2010>14th May 2010 15th May 2010 16th May 2010 17th May 2010 18th May 2010
	A block of sleeping rooms has been reserved for the convenience of meeting attendees from 12/13 to 15/16 May 2010. The conference fee is reduced if a participant wishes to book the accommodation on his/her own.
	Yes, I will use proposed sleeping option No, I will book hotel by myself
	The reduced fee: 25 Euro (100 PLN)
	Are you vegetarian ?
	Yes No
Write exactly what do you want at your badge:	Example:
Surname & name (max. 30 char):	JAN KOWALSKI
Affiliation (max. 40 char):	Nicolaus Copernicus University
City, country (max. 40 char:	Torun, POLAND
Place for additional message:
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