Name *
Surname *
Sex male female
Institution
E-mail address *
Phone number *
Fax number
Accommodation in the conference venue (Hotel Krol Kazimierz) Yes No
Single room(s) Select: 1 2 3 4 5 6 7 8 9 10 *
Double room(s) Select: 1 2 3 4 5 6 7 8 9 10 *
Lunches in the conference venue Lunches Social event *
Transport Warsaw-Kazimierz Dolny Yes No *
Number of persons *
Transport Kazimierz Dolny-Warsaw Yes No *