64th IFIP meeting Registration Form
===================================

Please e-mail this form to

    glueck@informatik.uni-augsburg.de

For questions please also use the above e-mail address.



Registration Details
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Name:
Organisation/Affiliation: 
Address:
Daytime Phone: 
Fax: 
Email: 

Day of arrival:
Day of departure:

Single or twin room:
In case of twin - preferably shared with:

Special dietary needs (vegetarian - diabetic - allergy-appropriate):