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REGISTRATION FORM

PARTICIPANT
Mr. Ms. Mrs. Dr.
Family name
First name
Middle name
SexMale Female
Organization
Job Title, Dept.
Address/ P.O. Box
ZIP Code, City, Country
Tel:
Fax:
E-mail:
URL:
ACCOMPANYING PERSONS
1. Family name
First name
Middle name
SexMale Female
Organization
Job Title, Dept.
Address/ P.O. Box
ZIP Code, City, Country
Tel:
Fax:
E-mail:
2. Family name
First name
Middle name
SexMale Female
Organization
Job Title, Dept.
Address/ P.O. Box
ZIP Code, City, Country
Tel:
Fax:
E-mail:
Information for local registration in Crimea (the fields below are required)
- Participant
passport #
issued by
issue date
expiration date
citizenship
date of birth
place of birth
home address
Do you need a Russian visa yes no
- Accompanying persons (for each person)
1. passport #
issued by
issue date
expiration date
citizenship
date of birth
place of birth
home address
Do you need a Russian visa yes no
2. passport #
issued by
issue date
expiration date
citizenship
date of birth
place of birth
home address
Do you need a Russian visa yes no

Payment
Bank transfer to: Association ELNIT
(International Association of Users and Developers of Electronic Libraries and New Information Technologies)
PLEASE NOTE: Payment is executed in accordance with invoice issued by the Forum Organization Committee only upon registration. Bank charges to your account.


I wish to present a paper
(title)


I agree with my paper publication on the Russian National Public Library for Science and Technology web site
yes no
I agree with my paper publication in the "Scientific and Technical Libraries" journal
yes no


I wish to rent a stand (please attach products description)
(2 m x 2 m) stand $350 (4m x 2m) stand $ 700

I will need a computer and/or other equipment and services
(please indicate the parameters)



Accommodation (prices for the whole stay, three meals a day included):
One-room apartmentTwo-room apartment (Standart)Two room apartment (Superior)
-Single $700-
-Double $550 (per person)-


Special offer only for Conference participants
You can order information products at a 20% discount:
Russian Union Catalog on Sci-Tech Literature. Cost: $35. Copies


Additional information
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