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					                            9th International Conference on AAA Proteins
                                          Registration Form

              Title
              First name
Name
              Initials
              Family name
              Department
Affiliation
              Institution
              Postal address
Address
              Country
Telephone
Fax
Email


              Confirmation numbers (on line registration and accomodation)
              Type (single / twin)
Hotel         Do you prefer smoking room (limited numbers)?
room          State your designated roommate if you choose twin room.
              Do you request arrangement for room share?
              If answer yes in the above question, you are (male / female)


              Vegitalian
Special
request       Other special
              request


              Do you submit an abstract for poster presentation?
Poster        Do you want to request consideration for short talk?
              Are you a graduate student or post-doc?

Excursion Are you interested in joining a coach tour to Mt. Aso?

				
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posted:10/26/2011
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