Institute of Organic Chemistry
Polish Academy
of Sciences
24th INFORMAL MEETING ON MASS SPECTROMETRY
14-18th May 2006, Ustroń, Poland
Polish Society for Mass Spectrometry
24th IMMS Registration Form
Please send before 17th of March, 2006
First name: Family name: Title:
Institution:
Department:
Street:
City: ZIP code: Country:
Phone (incl. country code): Fax (incl. country code):
e-mail:
No. of accompanying persons:
Oral communication: yes no
Tentative title and author(s):
Poster(s): yes no (if yes, please give the number of posters: )
Tentative title(s) and authors:
Additional social program (paid)
I would like to participate in (no obligation at that moment):
Conference dinner:
Pre-conference tour to Kraków and Wieliczka:
Post-conference tour to Pszczyna:
(total number of persons: )*
* participant + accompanying persons