REGISTRATION FORM

Kick-off meeting, 
Geometry + Simulation 2012
Stift Vorau/Austria
July 16 - July 18, 2012

Name:	

Affiliation/University: 

Postal address: 

E-Mail: 


I will take part in the Kick-off meeting of the NFN
Geometry + Simulation

Accommodation:

      Please reserve a double/shared room for me: yes/no   
      Please reserve a single room for me: yes/no 

      I want to share my double room with (if applicable): ...
      Please find a room mate for me: ...

      I will be accompanied by my familiy (... persons,
      of which are ... children in the age of ...)
     
      Arrival:        
      Day of arrival:           
      approx. time of arrival:
      first meal:

      Departure:
      Day of departure:         
      approx. time of departure:  
      last meal:


Please return this form to ag@jku.at