International Workshop on Radiopure Scintillators (RPSCINT 2013)
September 17 – 20, 2013
Institute for Nuclear Research, Kyiv, Ukraine


REGISTRATION FORM

Addressing (Prof, Dr, Mr, Ms):

Name: 

Family name:

Affiliation:

Address: 

E-mail:
Tel: 
Fax:

I would like to give an oral (poster) presentation titled:

Details of your travel (if you already know: date, flight, train):
We would appreciate an early information (no later than Monday September 9, 18:00 Kyiv time) on the details of your travel to drive you from /to the Boryspil airport / railway station

I need an official invitation letter, Yes / No

I would prefer a vegetarian (special) diet (if "yes", please, specify details).   

I am going to participate in Welcome party Monday September 16 at 19:00, Yes / No

I am going to participate in workshop dinner Thursday September 19 at 18:30, Yes / No

I am interested in excursion around Kyiv Friday September 20, Yes / No