| Participant: |
| Title: |
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| *Surname: |
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| *Given name(s): |
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| Company / institution: |
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| Address: |
| *Street: |
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| *Postal code: |
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| *City: |
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| *Country: |
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| Contact: |
| Phone: |
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| Fax: |
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| *e-mail: |
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| *Conference fee: |
| Regular participant |
| Student |
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| Accompanying person: |
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| Surname: |
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| Given name(s): |
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| Accommodation (optional): |
| No accommodation required |
| Hotel Diplomat **** single room (121 € per night) |
| Hotel Diplomat **** double room (142 € per night) |
| Hotel Praha ***** single room (93 € per night) |
| Hotel Praha ***** double room (112 € per night) |
| Hotel Denisa *** single room (48 € per night) |
| Hotel Denisa *** double room (62 € per night) |
| Date of arrival: |
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| Date of departure: |
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| Your notes: |
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| *Method of payment: |
| Credit card |
| Bank Transfer |
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