Workshop on
ISOGAL 
Lorentz Center, Leiden
April 10-14, 2000 
 

Registration form 

Full Name: 
Affiliation:
Adress: 
Telephone:
Fax:
email: 
Suggestions for joint discussions 
I will need lodging 
arrival date
departure date
for a total of nights
My special requirements regarding hotel accommodation are (eg wheel chair access, presence of elevator)
Special meat/food requests
Do you want to rent a bicycle (estimated at DFL 10 per day)? No or Yes. 
You can now  this form or  it.
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