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e-mail registration 25. annual congress of DGfS in Munich

Please fill in the form completely:

name:
first name:
address:
institution
postal code:
city:
phone:
fax :
e-mail:

fee "early bird"   € 15,- members with regular income
(payment until 1.2.2003, € 5,- members without regular income
participants from abroad) € 35,- non-members with regular income
€ 15,- non-members without regular income
fee "regular" € 20,- members with regular income
€ 10,- members without regular income
€ 40,- non-members with regular income
€ 20,- non-members without regular income
evening program (with buffet)     € 30,- participants with regular income
€ 15,- participants without regular income
I do not participate in the evening program

Please send your payment of €     to the following account: Konto 343765 at Raiffeisenbank München, BLZ 701 603 00,  Konrad Ehlich, key word: DGfS annual congress 2003.

Please send the form just one time. You will receive an e-mail confirmation in a few hours.


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