ICMM-2010
(October 25-29, 2010)
Pre-registration Information:
Prof.
Dr.
Mr.
Ms.
Date
Sex
Male
Female
*
First Name
Middle Name
*
Family Name
*
Affiliation
Address
City
Country
Post or ZIP Code
Phone Number
Fax Number
*
E-mail Address
No. of accompanying persons
Preferred Accommodation
Hotel
Guest House
* indicated fields are required