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XII. GEOHAZARDS CONFERENCE 13-14 JUNE 2019 TATA

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Name of participant:
Company name:
Company address:
E-mail:
Phone/mobile:
Type of participation:	Conference package
Participation on the pre-excursion:	yes no
Participation on the post-excursion:	yes no
Cost of participation:	I pay my expenses Someone else will pay my expenses
Name and address of the invoice: Copy from company address
Posting address of the invoice: Copy from invoice address
Type of accommodation:	No accommodation Single - for 1 night (on the 12th of June) Single - for 1 night (on the 13th of June) Single - for 2 nights (on the 12th-13th of June) Double - for 1 night (on the 12th of June) Double - for 1 night (on the 13th of June) Double - for 2 nights (on the 12th-13th of June) Name of room partner:
Catering:	Lunch On Thursday Lunch On Friday Vegetarian meal
Dinner on Wednesday:	yes no
Reception on Thursday:	yes no
Other comments: