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Workshop "Special
Geometries in Mathematical Physics"
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Registration FORM FOR PRE-REGISTRATION Surname: First Name: Female Title: Affiliation: Address: Phone: Fax: e-mail: Do you propose to give a talk (please note that it might be impossible to arrange a slot for everyone to avoid a tight schedule)? If YES, please send us the title and a short abstract. In case of a final registration: Accompanying person(s): Date of arrival: Date of departure: Letter of invitation: Letter of invitation for visa: Number of nights: Special requests (e.g. vegetarian etc): Date: Signature (in case of fax or air mail registration):
Heike
Pahlisch / 05.01.2006