REGISTRATION FORM
(one per participant)

WORKSHOP ON “NANOFUN RESEARCH INTERNAL PROJECTS”
Donostia-San Sebastián, Spain, September 15th and 16th, 2006
* required fields

* Name:
* First name:
* Title:
* Company/Organis.:
* Address:
 
 
 
* City:
* ZIP Code:
* Country:
* Tel. Number:
FAX number:
* E-mail address:
Please fill in the following part carefully:
I will attend: SC dinner on September,14th
Lunch on September,15th
Dinner on September,15th
Dinner on September,16th
NANOFUN-POLY Partner name:
Yes
No