REGISTRATION FORM

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Second International Conference

Advanced Space Technologies for the Humankind Prosperity

Dnepropetrovsk, Ukraine

April 15-17, 2009


REGISTRATION FORM

Please, fill in the given Form using block letters and return the Form to the Conference Organizing Committee by e-mail along with abstract:

Yuzhnoye SDO, 3 Krivorozhskaya Str., Dnepropetrovsk,
49008 Ukraine
Tel.: +38 0562 38-47-90
Fax: +38 056 770-01-25
E-mail: info@dpukrconfiaa.org
For further details visit:
http://www.dpukrconfiaa.org


Prof. Dr. Graduate student/Student Mr Mrs

Surname _____________________________________________________________________

Name _______________________________________________________________________

Organization __________________________________________________________________

Title_________________________________________________________________________

Mailing address_______________________________________________________________

Tel.______________________________ Fax _______________________________________

E-mail ______________________________________________________________________

Title of Paper_________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Language of Paper_____________________________________________________________

Way of Payment:

- bank transfer

- directly during registration (plastic card or cash).

Signature ______________________ Date _____________________

© 2006-08 Yuzhnoye Design Office Top Last update 16.01.2009 E-mail: info@dpukrconfiaa.org