REGISTRATION FORM

The IV International Symposium

                 INVASION OF ALIEN SPECIES IN HOLARTIC

(Borok – 4)

Borok-Myshkin, September 22-28th 2013

First name ___________________________________________________________________

Surname _____________________________________________________________________

Mr/Ms_______________________________________________________________________

Official status _________________________________________________________________

Organization__________________________________________________________________

Official address________________________________________________________________

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Post code______________________________________________________________________

Telephone____________________________________________________________________

Fax__________________________________________________________________________

Е-mail_______________________________________________________________________

Title of presentation_____________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Scientific topic ________________________________________________________________

Type of presentation:

 Oral presentation    

 Poster presentation 

Participant of «Round table» discussion      

Participating without presentation                

Accompanying persons                                 

Hotel/number of persons                               

                           children                               

The registration form should be sent to the organizing committee by February 1, 2010 at the address: sympBorok4@gmail.com