ATTENDANCE FORM by yoursovain

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									                              ATTENDANCE FORM
     Ancient Khmer and South East Asian Ceramics: New Archaeological Findings,
                     Production and the Revival of Techniques

              CKS Conference Hall, Wat Damnak, Siem Reap, Cambodia

                                December 13-15, 2007

Dear attendee,

Please fill in this short form electronically, in order to help facilitate arrangements
for the conference. After completion, please email it back to
conference@khmerstudies.org. If we have not heard from you by November 20,
2007, it will be assumed that you will not be attending the conference.

Please feel free to contact Suzanne Freilich, conference co-ordinator at
conference@khmerstudies.org or by phone on +855 (0)92 175 366 regarding any
queries.

      Name, title and position
      Contact details
      Affiliated to which
      institution/organisation?
      Brief description of your
      current role/research/work
      Participation fee (full $50;
      student $30;Cambodian
      citizen free)?
      Special dietary
      requirements e.g. Halal,
      vegetarian etc.
      Any disability
      considerations e.g.
      hearing, mobility etc
      Do you require
      accommodation
      reservations to be made
      on your behalf? Please
      provide details
      Are you
      presenting?Yes/No
      If presenting, any special
      presentation requirements
      Any other requests
      If presenting
      include
      abstract here

								
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