Please copy and paste this text, fill it in, and e-mail it back to:
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First name:
Last name:
Title:
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Please choose one of the following (mark with 'X'):
I am an invited speaker:
I would like to deliver a short communication/present a poster:
(and in this case I enclose a title and a short abstract)
I was born after January 1, 1973:
None of the above: